Pre-licensing visit·November 29, 2021

On 11/29/21 at 10AM, Licensing Program Analyst (LPA), Murial Han met with the Administrator, Roy Johnson to conduct an unannounced Pre-Licensing inspection for change of ownership. LPA Han was properly screened by the Administrator at the entry and LPA observed COVID-19 signs posted by the front entry. The new Administrator, Victoria Alejandro also arrived at the facility for the inspection. LPA observed the indoor and the outdoor passageways are free of obstruction. The Administrator provided a tour of the facility and all the clients were at the Day Program during the inspection. This is a one story facility with 4 private bedrooms. Three rooms are occupied. The client's rooms, the living room, the kitchen, the shower room, the bathrooms and the dining room are well maintained and appeared to be cleaned. The overall facility temperature was measured at 72 degrees Fahrenheit (F). the hot water temperature was measured in the half bathroom, shower room and the kitchen were at 115- 118 degrees F. The laundry room was cleaned and chemicals were locked. The medication storage was locked and inaccessible to the residents. The Carbon Monoxide detectors were present and properly operated. The first aide kit was inspected and equipped. Food supplies were observed to be adequate. The refrigerator temperature was measured at 34 degrees F and the freezer was measured at -1 degree F. The fire and smoke detectors are observed to be operated properly, the fire extinguishes observed to be adequate, and the Administrator reported that there is no firearms and/or ammunition at the facility. The Activities Calendar, the Resident Rights, the Ombudsman, the House Rules, the Licensing Complaint Poster and the Resident Council Rights are posted. In addition, there are COVID-19 signs to be observed through-out the facility and in the bathrooms. PPE supplies are adequate, facility continues to conducted COVID-19 screening for all clients twice a day and staff once a day upon their arrival. In addition, staff members are randomly tested for COVID-19 every other week. There were no objects obstructing the emergency shut-offs: water, electricity (all locations are labeled) and gas shut-off stations. There are many digital communication devices observed around the facility to improve the communication between clients and staff. Facility sketch accurately reflects the floor plan. Comp III orientation was given to the new Administrator, Victoria Alejandro on 11/29/2021. Pre-Licensing is now complete. Immediate Licensure is recommended pending final approval from the Central Applications Bureau. Exit interview conducted with the Administrator, Roy Johnson and the new Administrator, Victoria Alejandro. A copy of the report was provided.