Pre-licensing visit·May 30, 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 Administrator, Seiko Iso. The facility fire clearance was granted on 03/07/2025 and reflects that the facility was approved for six (15) 13 of which may be ambulatory residents and 2 bedridden residents. Fire extinguishers were serviced on 02/21/2025, fire alarm and monoxide alarms in working conditions. During today’s visit, LPA D. Roman, accompanied by facility staff toured the interior and exterior of the facility. LPA D. Roman along with facility staff inspected each room. The rooms were furnished, complying with Title 22 requirements (bed, night stands, drawers, closets). The facility was sanitary and in good repair. Laundry/dryer are near the kitchen area. Water temperature was in compliance measured at 109 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 lawn maintenance, gardening equipment, and is remained locked. Two additional storage units held for beds and non-ambulatory aid such as wheelchairs, walkers, etc. No bodies of water observed on the premises (sucs as pools). However, two (2) waterfalls were identified to be functioning with gated 5ft. barriers around them, compliant to Title 22. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. According to facility staff, no firearms or ammunition are or will be stored at the facility. (Cont. LIC-809C) 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. 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 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 Administrator to whom a copy of this report and the Licensee/Appeal Rights were provided.