Pre-licensing visit·August 15, 2023

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility announced at 10:20 a.m. to conduct a pre-licensing inspection. This is a change of ownership application from Park Vista Senior Living 1-3 (#565802420) to Homelife Senior Living 7 (#565850371). The LPA met with applicant Deborah Cassar and Administrator Sherry Nazari. Rooms are cleared for 6 bedridden residents. The fire clearance was granted on 6/21/2023; in which bedridden residents are permitted in Bedroom B thru G. Component III was waived as the applicant/administrator has attended Component III in the past and is RCFE administrator certified. At 10:30 a.m., the LPA toured the physical plant areas inside and outside with the applicant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN : Kitchen knives are stored locked and inaccessible in a drawer in the kitchen island. The supply of nonperishable food is adequate. The supply of dishes is adequate. Appliances in the kitchen were clean and functional. There is an adequate supply of emergency food. The facility recently completed a full home repaint and replaced furniture and kitchen supplies. BEDROOMS : There are (7) seven bedrooms in the facility; the facility has (6) six private bedrooms for resident use, and (1) one room that is used as an office and to store medications and files. The staff/office room is kept locked. All rooms A-G have direct access to the outside. Lighting in the rooms is adequate. (6) six out of (6) six private resident rooms were set up with beds, nightstands, lighting, chests of drawers, chairs and closet space. BATHROOMS : There are (7) seven full bathrooms. There are (6) six private bathrooms for resident use, the full bathroom at the entrance of the home next to Room A Staff Office is designated for staff and guests. The showers are equipped with nonskid surfaces. Grab bars were observed in the bathrooms. Hot water temperature in bathrooms measured between 107.7 – 112.8 degrees Fahrenheit. Continued on LIC 809-C. COMMON AREA: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. The facility smoke alarm system is hard wired; the smoke detectors were operable at the time of the visit. There are two (2) fire extinguishers which were fully charged and last serviced 6/12/2023. There is a functioning telephone on the premises. Emergency exiting plans/sketch are posted. Emergency telephone numbers are posted in the entrance area wall. Other required postings are also posted on the entrance area wall. MEDICATIONS : Medications are in a locked medication cart located near the kitchen and locked in the staff office. The first aid supplies were complete, including a first aid manual. FILES: Resident and staff records are stored in the locked staff/office room. LAUNDRY : The laundry area is in a locked laundry room next to the kitchen area. Laundry detergent and chemicals are stored inaccessible in the locked laundry room. EXTERIOR : The exterior passageways were clean and clear of any obstructions. There is a covered patio area with tables and chairs for resident use located directly outside the sliding doors from the kitchen. There is common recreational area with additional covered patio area with furniture a putting green and bocce ball area for resident use. There are no bodies of water noted on the premises. There is a self-latching gate located on the side passageway. There is no front yard gate or driveway gate. The garage is attached to the property and is used for additional storage. There are 3 other structures on the property which will be licensed individually as part of the same ownership. INFECTION CONTROL: The facility has a central entry point for symptom screening and sanitation station for staff, residents, and visitors. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. Facility is in compliance with Title 22 Regulations at this time. This report will be sent to the Centralized Application Bureau (CAB). The CAB Analyst will notify the applicant when the license has been approved. The applicant is aware that they are unable to operate under the new license number until they have been notified that the license has been approved by the CAB Analyst. Failure to comply could affect approval of the license. Exit interview conducted and report issued.