Pre-licensing visit·August 7, 2023

Licensing Program Analyst (LPA) Jason Lund arrived at the announced to conduct an pre-licensing inspection and Component III. LPA Jason Lund met with Licensee Jonathan Manaloto and explained the reason for the visit. The capacity of the facility is 6 non-ambulatory residents. LPA Jason Lund & Licensee Jonathan Manaloto inspected/toured the physical plant: Patio is shaded with sufficient furniture. The facility and all four bedrooms are equipped with sufficient furniture and lighting. Grab bars and non-skid mats are present in bathrooms. All common areas are free of hazards, clean and in good repair. The is a storage shed that is locked. There is a room attached to the house that has a jacuzzi. It was securely locked and inaccessible to residents. There is a fire extinguisher present that was inspected on 2/1/2023. There are plenty of pots and pans to use for food preparation. Thermometers were observed in both the refrigerator as well as the freezer. The facility has centralized heating and cooling and both are operational. LPA observed locked garage. There is a sufficient seven- day non-perishable and two- day perishable food supply. LPA observed locked garage doors, a laundry area (chemicals locked in cabinet), locked drawer for knives, and sharp objects inaccessible to residents. LPA observed auditory devices installed on all exit doors, LPA observed medication storage that is locked and secured and LPA observed activities available to residents. There was a fully stocked First Aid Kit. There are two fire and carbon monoxide detectors in the home. During today's visit, a brief presentation of Title 22, educational information with an emphasis on facility operation and commonly found problems was given to the licensee and administrator to complete Component III. An exit interview was conducted with Licensee Jonathan Manaloto and report left.