Pre-licensing visit·January 25, 2022

Licensing Program Analysts (LPA) Diaz conducted a pre-licensing visit to the facility above at 11:00am. LPA met with Jennifer Villaros. The applicant has obtained fire clearance for (5) non-ambulator and (1) bedridden residents, for a total capacity of six (6) Residents. Beginning at 11:08am, LPA inspected the proposed facility for Fire Safety, Personal Accommodations, and Food Service. All hard-wired smoke alarms were functioning properly at this time. The carbon monoxide detector was functioning. LPA observed one fire extinguisher to be fully charged. Paint, windows, blinds, and floors are in good repair. There are no firearms on the premises. The common living and dining areas are clean and properly furnished. A working telephone is present. The facility has a comfortable temperature of 71 degrees. The proposed facility has 4 resident bedrooms total. The resident bedrooms were furnished and contained beds, chairs, bedside tables and lamps. All beds have sheets, pillows, and mattress pads. There is also an ample supply of linen, towels and paper products. The proposed facility has (2) bathrooms for resident use. LPA observed a night-light present in the main hallway. Hot water measured at 116. degrees Fahrenheit at The kitchen contained a sufficient supply of dishes, glasses and utensils and aseven-day supply of non-perishable food was present. A locked medication cabinet and First aid kit was observed to be complete. There is space to lock chemicals in the garage, under the bathroom sink and kitchen sink. Sharp items are stored in a locked kitchen drawer. The laundry room is located in the garage and supplies will be stored in the locked garage cabinets. The building and grounds are free from hazard. Exit interview conducted and report issued.