Pre-licensing visit·September 9, 2025

Licensing Program Analyst (LPA) David Roman conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and Health & Safety Code. LPA D. Roman identified himself to and explained the purpose of the visit to Administrators, Jeremy Bagaoisan, and Reyner Grangos. The facility fire clearance was granted on 01/28/2025 and reflects that the facility was approved for five (5) non-ambulatory residents and 1 bedridden resident totaling 6 residents. Fire extinguishers were serviced on 02/17/2025, smoke alarm/monoxide alarms were tested at 02:00 PM. During today’s visit, LPA D. Roman, accompanied by Jeremy Bagaoisan and Reyner Grangos, toured the interior and exterior of the facility and inspected each room. The facility was sanitary and in good repair. The facility consist of 1 story home with 6 bedrooms, 3 bathrooms, living room, dining room, and kitchen area, laundry/dryer are in garage. Bedrooms contained the required furnishings (closet and night stand). Water temperature was in compliance measured at 120 degrees. The facility has enough linens, hygiene supplies and dining supplies for client use. The facility has locked areas for storage of medication and confidential client and staff records. Facility has a storage unit on the grounds that is kept for medical equipment which is locked. No bodies of water observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. According to Administrators reported no firearms or ammunition are or will be stored at the facility. Emergency lighting, and facility telephone were all operational. First aid kits were present and readily available. Required licensing postings were observed in visible areas of the facility. (Cont. on LIC-809) The items reviewed were complaint with Title 22, Division 6 of California Code of Regulations and Health & Safety Code. The facility passed the pre-licensing inspection. LPA D. Roman also provided the Component III Training during today’s visit. The supervisor was advised that the facility’s application is pending management final review and approval. An exit interview was conducted with the applicant, to whom a copy of this report and the Licensee/Appeal Rights were provided