Pre-licensing visit·August 28, 2020

Licensing Program Analyst Willis conducted the Prelicensing Inspection via video conferencing due to Covid 19 precautions with Applicant, Brisa Junco. Applicant has applied for a Change of Ownership for this already existing facility. Facility has four bedrooms, two of which will are shared and two are singles. Facility received an approved fire clearance July 31, 2020 that allows for six non-ambulatory residents. Applicant conducted a walk through via video conference and LPA observed that resident rooms were furnished per regulations and bathrooms were equipped with nonskid mats and hand rails for safety. Facility has required postings including but not limited to the CCL Complaint Poster, Resident Bill of Rights and Resident Rights to Resident Councils. Facility has adequate dishes and cooking materials to provide meals to residents. Facility has at least two days of perishable and one week of nonperishable foods. Facility has space indoors and outdoors for resident activities. Disinfectants are locked in the cabinet. Applicant tested water and it read at 112 degrees Fahrenheit which is within allowable range. Fire extinguisher is due for service by November 2020. Carbon Monoxide Detector was functional. Exterior doors and the door leading to the garage is alarmed for resident safety. Resident and staff records are maintained. LPA confirmed with Applicant that if current residents choose to stay after Change of Ownership, a new Admission Agreement will need to be completed. Applicant understood. Medication is centrally stored and locked in a closet. A Centrally Stored Medication Log is maintained. LPA discussed facility's Disaster Preparedness with Applicant including observing their Emergency supplies. Applicant showed LPA the contents of their First Aid Kit. Due to Applicant being an the current Administrator, Component III is waived. LPA will provide this report to the Centralized Application Unit to continue application process.