Pre-licensing visit·May 19, 2022

On 5/19/22 at 10:00AM, Licensing Program Analyst (LPA), Murial Han met with the Administrators, Jerome Leonard and Eloisa Bustamante to conduct an announced Pre-Licensing inspection. LPA observed the indoor and the outdoor passageways are free of obstruction. Ms. Bustamante provided a tour of the facility. This is a single level facility. There is no residents during the time of the inspection. LPA observed good lighting and comfortable temperature in the facility. LPA observed sufficient hygiene and cleaning supplies. Three trash cans in the kitchen have tight fitting, and foot operated lids. The refrigerator was measured at 39 degrees Fahrenheit (F) and the freezer was measured at -7 degrees F. LPA observed sufficient amount of non-perishable food, utensils, cooking wares and cleaning supplies. The first aid kit was inspected to be adequate. LPA observed adequate postings including CCL complaint poster, resident's rights, resident council rights, the emergency disaster plan, facility theft and lost program. LPA observed some COVID-19 signs within the facility but recommended to post hand washing instruction signs by the hand washing stations, and additional COVID-19 signs. The facility has a spacious a dining room and a theater. A few resident's rooms were equipped with beds and furniture. LPA observed bathroom sinks temperature measured at 106- 116 degrees Fahrenheit (F) and the main shower room was measured at 107 degrees Fahrenheit (F). Pre-Licensing is incomplete during this inspection due to the following area of concerns: - LPA observed the overall facility required cleaning as there were white powder and black particles identified in resident's room, bathrooms, shower room, dining room, kitchen, and hallways. - LPA observed 3 non-skid mats were unopened next to the shower rooms - LPA observed brown and rusty stains on the shower tubs - LPA observed black stains inside the shower tubs - LPA observed blurry and foggy windows throughout the facility - LPA observed a mental bed frame with 2 mattresses positioned on the floor in room 103 - Facility has a laundry but no dryer and washer The administrator acknowledged the above findings and stated that a professional cleaning crew is scheduled to come on May 22, 2022 for deep cleaning. A follow-up pre-licensing inspection will be scheduled. Exit interview conducted with administrator, Eloisa Bustamante and Jerome Leonard A copy of this report is provided.