Pre-licensing visit·October 20, 2022

On 10/20/22, Licensing Program Analyst (LPA) M. Medina conducted an announced Pre-licensing inspection. LPA introduced self, stated the purpose of the visit, and was granted entry into the facility. LPA met with Licensee Patricia Arriaga. LPA toured the facility with Licensee. The facility is 5 bedrooms and 2 bathrooms home. Fire clearance was granted for 6 ambulatory residents. Common areas were furnished and had adequate seating and lighting available. All bedrooms were observed to have required furnishings. Kitchen was toured and observed to have dishes, plate, and utensils. Facility has 7-day supply of non-perishable food available as of date of inspection. Knives were observed to be locked and secure in kitchen drawer. Medications will be kept in locked closet. Hot water temperature measured at 120 degrees F. First aid kit was observed. Cleaning supplies and chemicals were observed to be in a locked cabinet in the garage. Outside of facility toured. Exits were open and free of obstructions. Fire extinguisher present with a service date of 8/30/22. Smoke detectors and carbon monoxide detectors were observed to be operational during this inspection. Component III was conducted during today's pre-licensing visit. The following items must be completed prior to applicant meeting all pre-licensing requirements 1) First Aid kit missing First Aid Manual 2) Fire exit gate is not self-latching and 3) Facility has no containers for trash pick up from the city. LPA will conduct follow up inspection visit when corrections have been completed. Exit interview conducted and a copy of report provided for facility records.