Pre-licensing visit·April 22, 2025

On 04/22/2025, Licensing Program Anaysts (LPAs) Arielle Pascua and Triel Lindstrom arrived announced to this facility to conduct a Pre-Licensing visit. LPAs met with applicant, Christine Soriano and explained the purpose of the visit. Present at this visit was Facility Designated Administrator (FDA), Marlene Bremer, Regional Nurse, Carolyn Appeal, Business Office Director (BOD), Farial Shokoor, and Facility Designated Representative (FDR), Jessica Moreno. The purpose of this Pre-Licensing visit was due to a change of ownership. This facility current has residents in care. This prospective facility will serve and retain up to 88 elderly residents, of whom may be 83 non-ambulatory, and 5 bedridden residents. There is a fire clearance for bedridden residents in rooms #1,#2,#20, and #21 in the main building. The 5th bedridden bedroom is located in bedroom #41 which is housed in a separate building. Current census was 57. A brief interview with Applicant Soriano was conducted. A tour of the facility was conducted. This facility is all memory care, Delayed egress and other safety measures were observed to be functional at this time. All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time. Office rooms and other areas intended for resident use were toured. Hot water temperatures were taken to make sure that the hot water being dispensed was within the allowed range of 105-120 degrees at this time. Fire extinguishers, placed throughout this facility, were observed to have been annually inspected on 02/14/2025 by the local fire extinguisher company, Annual Fire Company, and in compliance at this time. Kitchen area was toured. Facility freezer and refrigerator units were toured. LPAs reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities on site at all times. Storage area for chemicals and cleaning supplies was observed to be locked and made inaccessible to the residents at this time. A tour of the facility resident bedrooms was conducted. Furniture and furnishings were observed to sufficient and able to meet the needs of the residents at this time. A review of the resident restrooms was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. 2 Medication rooms were reviewed and the policies for dispensing, storing, and documentation was discussed with facility staff responsible for the medication management at this time. This facility will be using an Electronic Medication Administration System. First aid kit was observed to be present and contained all of the required components at this time. Exterior grounds of this facility was toured. Perimeter fence and gates were observed to be functional and in good repair at this time. Call light and alarm systems such as smoke detectors and carbon monoxide were observed to be in working condition at this time. Emergency disaster plan was discussed. This facility houses a generator. This facility has been observed to be in compliance at this time. Due to the observations made during this Pre-Licensing visit, the applicant has passed this Pre-Licensing component. Comp III was waived at this time. An exit interview conducted and a copy of this report was provided to the facility and the applicant.