Pre-licensing visit·May 13, 2025

Applicant Unified Hearts Home Care LLC has applied for RCFE licensure for 5 non-ambulatory and one bedridden elderly clients in 6 private rooms. Fire clearance has been approved. LPA Jeung toured facility and grounds of this two level facility. There are 6 bedrooms--each of which exits to exterior, 2 bedrooms have full private bathrooms and one has a private half bathroom--two common full bathrooms, a great room which includes dining area, and kitchen. On the upper level, there is a large staff bedroom with two bunk beds, large office space, and full bathroom; this level is not used by residents. Emergency signal system by Smart Caregiver Corp. is installed and consists of pendant alarms for each bedroom that transmit an audible alert--that also identifies the room of origin--to central unit in the kitchen and two pagers Carbon monoxide detectors are present and operable. Clothes washer and dryer are located in the 2-car garage. Property is level, mostly paved, and fenced. Medications will be stored in locked kitchen cabinet and toxins are stored in garage, which is locked. It is recommended that a storage cabinet be installed in garage to secure chemicals. Hot water temperature is tested at 107 degrees in common bathroom. Food preparation and service items are present, as well as non-perishable fruits, vegetables and protein. Supplies of bed and bath linens and hygiene products are observed. First aid kit is complete. Lina Chen holds a valid RCFE administrator certificate (x 1/27). A spare set of keys--including all resident units, all exit doors, all cabinets, cupboards or files that contain elements of the emergency and disaster plan--is available for use during an evacuation. Continued on next page. . The following items are observed and must be addressed prior to licensure: 1. Emergency Disaster Plan (LIC610E) must be updated to include corrected location of water shut off and fire extinguisher locations. (Section 87212 Emergency Disaster Plan) 2. Beds are not fitted with mattress pads (Section 87307 Personal Accommodations and Services) 3. There is not yet telephone service (Section 87311 Telephones) 4. Internet capable device for client use only has not yet been obtained (Health & Safety Code 1569.319) LPA to be contacted upon completion of the above 4 items. Component III orientation is reviewed with Ms. Chen today.