Pre-licensing visit·October 8, 2025

On 10/8/2025 at 10:00 AM, Licensing Program Analysts (LPA) Triel Ellen Lindstrom arrived at the facility for an announced pre-licensing inspection. The LPA was greeted by the licensee listed on the LIC200 application. The LPA introduced herself, explained the purpose of the visit, and an interview followed. The applicant accompanied the LPA on a tour of the facility. This facility is an eight-bedroom residential house with three full bedrooms and one half-bathroom. The facility has been cleared for fourteen ambulatory residents and one bedridden resident by the Modesto Fire Department. The City of Oakdale has made the determination that the facility may accommodate ten non-ambulatory bedridden residents and five ambulatory/non-ambulatory residents. The licensee will work with the Department to change the capacity. The LPA toured the inside of the house, including eight resident bedrooms, three full bathrooms, one half bathroom, kitchen, dining room, living room, two storage rooms, laundry room, and medication room. The entire house was clean, odor-free, and pest-free. Seven bedrooms were double-occupancy, and one bedroom was single occupancy. One bedroom had a half-bathroom. Each bedroom had the required furniture and closet space for personal belongings, and an exit to the outside. The windows and window screens were in good repair. The bathrooms had grab bars and non-slip flooring in the showers. The water temperature at the bathroom sink was 105 degrees Fahrenheit, within the required range of 105-120 degrees Fahrenheit. The LPA toured the kitchen. There was a two-day supply of perishable food and seven-day supply of non-perishable food. There were enough dishes and cutlery for residents. There was a trash can with a lid. (Continued on LIC809-C) The LPA observed that the temperature in the house was set at 75 degrees Fahrenheit. There were two carbon monoxide detectors in the common areas that were in working order. There was a smoke detector in each bedroom, plus three in the common areas, which were interconnected and in working order. There was a sprinkler system that was serviced by Jorgensen Co. in June 2025 and five fire extinguishers that were serviced by Jorgensen Co. on 7/21/2025. The thermostat was set at 75 degrees Fahrenheit. The LPA observed the medication room, which contained resident-to-be files and the medication cart. The medication room door was locked, the medication cart was locked, and a drawer within the cart which will be used for narcotics had a lock. The dining room and living rooms have seating for residents. The laundry room was locked and contained a locked cabinet for cleaners. There were two storage rooms, one for non-perishable food and one for linens and supplies. The required facility documents were posted in a public place. The LPA toured the facility grounds. There was a large, shaded activity area with seating on the side of the house. The entire property is enclosed with a fence. The grounds were maintained, with fruit trees in front and potted plants on the side. All walkways were free of obstruction. Both the main door in front and the main door on the side of the house had ramps leading up to them. There were two large sheds that were used for storage at the back of the facility. The inspection tool was used during this site visit. The LPA completed a Comp III with the Licensee. As a result of this inspection, the facility was in compliance with California Code of Regulations (CCR), Title 22, Division 6. Pre-Licensing is complete, and this facility has no deficiencies. An exit interview was conducted with the applicant, to whom a copy of this LIC809 report was provided. Their signature below confirms receipt of this document.