Pre-licensing visit·May 24, 2024

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Pre-Licensing Inspection and met with Applicant/Administrator, Sarah Jane Bautista. Applicant has applied for a Change of Ownership at this location and currently has 6 residents in care. Facility is a one story residence with six resident bedrooms, 3 bathrooms, living room, dining room, kitchen area, one staff/office room and the garage. All resident rooms have the required furnishings in bedrooms. Bathroom showers have non-skid shower floors/mats and grab bars. Water temperature in bathrooms is within regulation of 105 & 120 degrees F. Facility has sufficient items used for cooking and eating. The refrigerator was observed to be clean and there was plenty of perishable and Non perishable foods that appeared in good condition and stored properly. There was an additional refrigerator and freezer and extra canned goods in the garage. Cleaning supplies are locked under kitchen sink and locked. Sharps are located in kitchen drawer and locked. Personnel records and resident records are stored in locked cabinet. Medication is centrally stored and locked. Facility received an approved fire clearance dated February, 2024 that allows for 6 non-ambulatory residents. Carbon monoxide and smoke alarms are operational. Fire extinguishers are charged and serviced 5/7/2024. Required postings were observed. Auditory alarms on doors were operational. Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulation. Component III was conducted today, with Applicant, Sarah Jane Bautista , Administrator . Pre-Licensing is complete. No citations issued.