Pre-licensing visit·June 7, 2022

Licensing Program Analyst (LPA), Katrina Walters arrived unannounced to conduct a pre-licensing inspection, and was greeted by staff. The applicant Victoria Gonzales arrived later. The applicant has filed a change of ownership application with the Licensing Department. The facility is currently licensed, as Agape Gardens LLC. At the time of inspection there were 2 staff, and 5 residents in care. Facility will operate with live-in staff and Licensee will ensure sufficient staffing at all times. The facility is one story with 6 bedrooms, 3 bathrooms, office room, 2 staff rooms, and a fenced back yard. The outside grounds were free of any apparent hazards, and fire exits were clear. No accessible bodies of water. No firearms. The interior living room, dining room, kitchen and resident bedrooms were adequately furnished as required per regulation. Fire clearance is approved for six non-ambulatory residents effective 4/29/2022. All exits were unobstructed in the home. All utilities were on and operational. All bathrooms had grab bars, and mats for the shower/bath flooring for resident use. Fire extinguishers, two (2) were serviced and tagged as required- 04/11/2022. Carbon monoxide and smoke detectors were tested and appeared to be operational. At the entrance of the facility there is a sign-in sheet with a temperature gun, and spare personal protective equipment. Facility has a 30 day supply of incontinence products and PPE. Per the applicant, they have developed a program plan, but the files, were not available for review. Applicant agreed to send LPA a copy of their dementia care plan by 6/8/22. LPA conducted Comp 3 with applicant. LPA and applicant discussed topics such as: Prohibited and Restricted conditions, Pre-Admission, Resident and Staff records, criminal background and fire clearances. LPA will submit the pre-licensing reports to Application Unit Analyst in Sacramento; Application Unit Analyst will notify applicant of application status. A copy of the report was given to the Applicant.