Pre-licensing visit·October 23, 2025

On 10/23/2025, Licensing Program Anayst (LPA) Arielle Pascua arrived announced to this facility to conduct a Pre-Licensing visit. LPAs met with Facility Designated Representative, Priya Lal and explained the purpose of the visit. The purpose of this Pre-Licensing visit was due to a change of ownership. This facility current has 111 residents in care. This prospective facility will serve and retain up to 180 elderly residents, of whom may be 137 non-ambulatory, and 12 bedridden residents. All rooms on the bottom floor are approved by the fire marshal for bedridden residents. This facility also has delayed egress and a hospice waiver for 15 residents. Current census was 111. A brief interview with FDR Lal was conducted. This facility designated representative has a current and active administrator certificate ##7019625740 and expires on 07/17/2027. A tour of the facility was conducted. This facility has a memory care and assisted living building. 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 07/22/2025 by the local fire extinguisher company, Silicon Valley Fire, and in compliance at this time. There are two elevators present at the facility, that have an active permit until 06/27/2026. 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 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. 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 on site. 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.