Pre-licensing visit·May 22, 2025

At approximately 11:15 AM, Licensing Program Analyst (LPA) Magdaleno arrived announced to conduct a Pre-Licensing Inspection and met with Applicants, Reggie Capili and Marife Capili. Facility received an approved fire clearance dated 11/27/2024 that allows for a total capacity of 6 clients, where 6 may be ambulatory only. Facility plans to be a Residential Care Facility for the Elderly (RCFE). LPA conducted a walk-though of facility with Applicant and observed the following: Per facility sketch, facility is a one story residence with 4 residents bedrooms, two bathrooms, 1 staff room, living/dining room, and an activity room. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Facility's water temperatures for all sinks were within Title 22 Regulations of 105 degree F to 120 degrees F. There was an appropriate supply of cleaning products, linens, hygiene products, and paper products available for clients. Toxins were observed to be stored in facility's laundry room and inaccessible to clients. Bathrooms were equipped with necessary grab bars, and non-slip floors mats were present. All client rooms were furnished with a bed, lamp, dresser, and chair with shared rooms having two of each. Facility has sufficient items for cooking and serving. Per Applicant, Staff and Client file will be located in the locked office. Medication closest was found to be locked. Facility has indoor/outdoor areas for visiting and activities. Signal system on all doors leading out of facility were tested and found operational. Facility's fire extinguisher is newly purchased and was observed to be fully charged. Facility's combination smoke and carbon monoxide detectors were tested and operational. LPA confirmed that contents of the facility's First Aid Kit was sufficient. Facility has internet accessible devices and internet available for residents in care. LPA and Applicants discussed many topics including reporting requirements, documentation requirements, grievance procedures, staffing, disaster drills, and yearly training requirements. Continued LIC809C... Continued from LIC809 No Deficiencies or Advisories given during visit. Pre-Licensing completed. Facility is ready to be Licensed as a Residential Care Facility for the Elderly (RCFE). LPA will submit Pre-Licensing Application Report to the Application Unit Analyst in Sacramento. Application Unit Analyst will notify Applicant of Status. Exit interview conducted. Copy of report discussed and provided to Applicant. Signature on form confirms receipt of documents.