Pre-licensing visit·May 16, 2025

On 05/16/2025, at 9:15 am, Licensing Program Analyst (LPA), Renee Campbell arrived unannounced to conduct an inspection to the above facility for the purpose of a pre-licensing evaluation. This pre-licensing is for Change of Ownership (CHOW) to Deer Tail Living Inc. DBA Vintage Faire Residential. LPA met with Administrator Prithika Singh, Francis Santillian, Marketing and Eric Olson with Marketing and explained the purpose of the visit. LPA Campbell inspected the physical plant of the facility to ensure compliance of Title 22 regulation. LPA observed 5 random resident units, the activity room, dining room, kitchen, laundry, and outdoor areas. The Facility has a 49-resident capacity for Assisted Living residents. The facility is a one-story building located in a residential neighborhood.  Outdoor passageways, walkways, driveways, and steps are free from obstructions. LPA Campbell did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. Bodies of water were not observed at this time. Resident Bedrooms: LPA inspected 5 resident units.  Each unit is fire cleared for non-ambulatory residents.  The resident apartments/units are spacious and will easily accommodate the residents furnishings. The inspected resident units were observed to be furnished with adequate storage for resident belongings. Bathroom: Each resident unit contains a private bathroom.  All bathrooms inspected have working toilets, wash basins and full baths have showers. There are grab rails next to both the toilets and the showers as well as nonskid flooring. Toxins and Chemicals: Toxins and chemicals for cleaning are properly stored, locked, and inaccessible to residents in care. . Water temperature: Water temperature in 2 randomly selected bathrooms (in a resident units) were measured at 117.9 in room #7 and 116.1 degrees F in room #8. Food Service and Kitchen: The kitchen area and dining area were inspected and observed to be in good repair. Knives, cutlery and other sharp kitchen utensils are locked and inaccessible to residents. The food supply was adequate and stored in kitchen refrigerator and walk-in pantry and consists of the following: A variety of fresh and canned fruit, vegetable and meat food items. The date of purchase was written on food items in the refrigerator and freeezer. Stove burners and oven were observed to be in good repair. Temperature in freezer was observed to be within regulatory standard -1.3 degrees Fahrenheit for the freezer. Menu was observed outside of the dining rooms and available for viewing to residents in care. LPA Campbell observed admission sheets over the food prep area to inform staff of new resident's dietary needs. Smoke Detectors/Carbon Monoxide:  Each inspected resident units were observed to have a smoke detector and carbon monoxide detectors. Additionally, facility is equipped with sprinkler system. Smoke detectors are hardwired and interconnected, and they are fully operational. Facility conducts quarterly smoke alarm testing. The most recent test occurred 02/18/2025 and was passed successfully. Medications and First-Aid Kit: Resident medications were observed to be stored in the medication room and locked and inaccessible to residents in care. The first aid kit has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and manual which are stored in the locked medication room. A first aid kit is also kept in the Administrator's office and available for staff use but inaccessible to clients. Facility, Residents & Staff Files: Facility will not be handling cash resources of residents. Records of staff and residents are stored in a locked room and accessible to staff. LPA Campbell reviewed 4 resident files that were found to be complete. Component III: Conducted at the Pre-Licensing visit, on 05/16/2025 at Vintage Faire Residential and information provided about how to operate the facility within substantial compliance. Pre licensing is complete and this facility has no deficiencies. An exit interview was conducted with A dministrator Prithika Singh . A copy of this report was provided. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.