Pre-licensing visit·November 9, 2023

Licensing Program Analyst (LPA) Victoria Bertozzi arrived announced to conduct a Pre-Licensing Inspection and met with Applicants Rafaela Lopez and Elizabeth Matos. Facility is a one story residence with four bedrooms (one shared, three private), two bathrooms, a laundry room and common areas. Resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Bathroom showers have non-skid shower floor and grab bars. Water temperature read at 109 degrees F which is within regulation of 105 & 120 degrees F. Facility has sufficient items used for cooking and eating. Facility has a locked closet in the kitchen used for centrally stored medications. Cleaning supplies and toxins are locked in a cabinet under the kitchen sink and in a cabinet in the laundry room. Perishable and non-perishable foods are stored per regulation. Facility has areas inside and outside for visiting and activities. Facility received an approved fire clearance dated October 30, 2023 that allows for up to four non-ambulatory and two bedridden residents. Facility has smoke detectors that were tested during the fire inspection. Facility does not have a carbon monoxide detector due to not having any gas appliances but agrees to obtain a detector to meet regulation. LPA confirmed with Applicant that they are familiar with Guardian and has signed up fpr Provider Information Notices (PINs). Component III was conducted with Applicant. LPA will notify Application Unit so application process may proceed.