Pre-licensing visit·September 18, 2025

At approximately 10:00am Licensing Program Analyst (LPA) Contreras arrived for a scheduled pre-licensing visit and met with administrator (admin) Juan Miguel Santos. This pre-licensing change of ownership (CHOW) inspection is for a Residential Facility for the Elderly being conducted for a one story, 6 bedroom, 2 bathroom home with a fire clearance approved for capacity of 6 non-ambulatory residents. There is currently one staff room, 1 shared with no residents and 4 private rooms in use. LPA and admin toured the indoor and outdoor portions of the facility. Facility was found to be clean and at a comfortable temperature. Facility contained all required postings. Emergency exit had a metal folded bed at the end of the wheelchair ramp that could pose an obstruction to the emergency exit. Admin removed item and was advised to not place any items by wheelchair ramp leading to exit. Outdoor area has patio table and chairs accessible for resident use. 5 out of 5 resident bedrooms were found to be in clean and good repair. All had required chair, chest drawer and beds were made with appropriate linens. Restrooms had grab bars and bath mats. LPA observed there to be emergency food and emergency water supply. LPA observed there to be perishables to meet Title 22 Regulations.There were canned goods and non-perishable foods in pantry. Refrigerator and freezer were functioning and operational. LPA observed there to be plates and utensils including additional kitchenware. All cleaning products, sharp items, other toxins and chemicals are locked and inaccessible for residents. There are an ample amount of extra linens, towels, hygiene products and 2 first aid kits. Facility has accessible and functioning phone for residents to communicate. continued onto 809C... Continued from 809... LPA observed fire extinguisher charged and last inspected on 6/3/2025. Fire alarm and carbon monoxide alarms were tested and operational. Signal system on all doors leading out of facility were tested and found operational. Signal system to door leading to backyard was turned off. LPA advised admin that signal system must be on at all times even if residents do not use backyard. Facility has a back up generator. Water was measured in faucets used by residents and was found to be within regulation between 105 & 120 degrees F. Applicant Licensee owns another care facility and is aware of the current regulations and reporting requirements; Applicant is also administrator under current license. Component III orientation waived. No Deficiencies given during visit. Pre-Licensing completed. Facility is ready to be Licensed as a Residential Facility for the Elderly. LPA will submit Pre-Licensing Application Report to the Application Unit Analyst in Sacramento. Application Unit Analyst will notify Applicants of Status. Copy of report discussed and provided to Applicants. Exit interview conducted.