Pre-licensing visit·April 14, 2022

On 04/14/2022, Licensing Program Analyst (LPA) M. Medina conducted an announced Pre-Licensing and Component III Inspection. LPA met with Licensee Jennifer Jeffries. There are currently 6 residents in placement, facility is currently licensed as Adult Residential. The facility is a 7 bedroom and 3 bathrooms home and fire clearance were granted for 4 ambulatory and 2 non-ambulatory for a total capacity of 6. There were no residents present during this inspection. Common areas were observed to have adequate seating and lighting available. Bedrooms were observed to have the required furnishings. Hot water temperature 108 degree F. Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked and secure in the kitchen pantry. Medications will be locked in lock box in the pantry. First aid kit was observed and contained all required items. Cleaning supplies and chemicals observed to be locked in laundry room. A fire extinguisher was observed and had a service date of 01/19/22. Smoke detectors and carbon monoxide were observed to be operational during this inspection. Outside of facility toured. Exits were open and free of obstructions. Component III was conducted during today's pre-licensing visit. I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.