Pre-licensing visit·May 28, 2024

Licensing Program Analyst (LPA), Alviso conducted a pre-licensing inspection, at approximately 1:30pm 5/28/24, and met with Applicant Teddy Rico. This application is a change of ownership, the facility is currently licensed as St.Michaels Assisted Living 2 - # 496804057 ; Teddy Rico is the facility's House Manager. The LPA toured the facility with applicant Teddy Rico. The following items were observed, and discussed, Per staff file reviews, S3 lacked current first aid and CPR certification; S3's first aid/CPR expired 3/5/24. This is a deficiency 87411(c )(1) Personnel Requirements – General. This deficiency will be cited on the facility license number 496804057, see report LIC809D dated 5/28/24. During physical plant inspection, LPA observed that there are many walls throughout the facility that need to be wiped down/cleaned, and touched up with paint. The hallway bathroom had a broken toilet paper holder on the wall by the toilet. The kitchen needed cleaning, the sink was dirty and needed to be scrubbed clean, the appliances were needing to be wiped down, as well as the stove, LPA observed crumbs, dust, dirt, and grime in the kitchen area. The backyard had some overgrown plants/weeds hanging over into the walkway, the patio furniture was dirty, dusty, and had some spider webs. There were spider webs on the shed, on the shed's top, and in areas around the patio deck. There's a board, could be a few, that was observed to be bulging on the deck which has created a trip hazard. There is a pile of ol wheelchairs and walkers that are dirty and have spider webs on them, on the covered area of the backyard. The covered patio area needs to be cleaned up from dirt and spider webs. This is a deficiency 87303(a) Maintenance and Operation- This deficiency will be cited on the facility license number 496804057, see report LIC809D dated 5/28/24. The LPA will return to continue a pre-licensing inspection, once deficiencies are corrected on 496804057, current facility license.