Pre-licensing visit·April 1, 2025

Licensing Program Analyst (LPA), Martha Arroyo conducted a pre-licensing visit to this property. Upon arrival, the LPA met with Applicant Representative Maaya Marri as this is a change of ownership application from Manra Mansion LLC #565850331 to myMDcare Senior Living #565850596. The applicant has obtained fire clearance for a total capacity of six (6) residents, five (5) non-ambulatory residents and one (1) bedridden resident. The facility has a dementia program in place. The facility is one story. At approximately 10:10am, a physical plant tour was conducted inside and out. The LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The facility has four (4) private resident bedrooms and one (1) shared resident bedroom. Resident room #2 is approved for single bedridden resident and has a direct exit to the outside. There are no fire sprinklers in the facility. Main hallway leading to resident bedrooms from kitchen was observed to be equipped with a fire door. The smoke alarms and carbon monoxide detectors are wired and function properly when tested. The LPA observed one (1) fire extinguisher to be new with a purchase date of 08/06/2024. Each bedroom is equipped with a mattresses, pillows, and bedding. Bedrooms have sufficient lighting. There is a closet in the hallway with a sufficient supply of clean linens and towels. The facility has two (2) bathrooms for resident use. Resident bathrooms contained appropriate non-skid mats and grab bars. Bathrooms have sufficient paper products. Report Continued on LIC 809C... Report Continued from LIC 809C... Medications are stored and locked in a file cabinet by the office adjacent to the dining room. Facility records and First aid kit are stored by the office. First aid kit was observed to have bandages, thermometer, scissors, tweezers and a current first aid manual. Facility has an adequate supply of Personal Protection Equipment (PPE). Hot water temperature in both bathrooms measured between 105- and 120 degrees Fahrenheit. The LPA observed trash cans with tight fitting lids at the time of the visit. The facility has at least seven (7) day supply of non-perishable food and two (2) days perishable food. The kitchen has a sufficient supply of plates, cups, cookware, and utensils. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Kitchen knives and sharps were observed in a locked drawer inaccessible to residents in care. Appliances in the kitchen were clean and all appeared functional at the time of the visit. Trash cans had tight fitting lids. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. All window screens and coverings are in good repair. Enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There is a television and other entertainment equipment, games and/or activity supplies in the living room. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and bathrooms. There is a fireplace in the living room that is non-operable at this time. It is adequately screened and there are no tools. All doors have functioning auditory alarms at the time of the visit. The facility has required postings, including emergency exit plan, Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. Report Continued on LIC 809C... Report Continued from LIC 809C... The garage is attached to the house and inaccessible to residents in care. The washer and dryer was observed inside the garage. Resident’s personal hygiene items were observed locked and inaccessible. There will be no firearms/ammunition stored on the property. There is a sufficient supply of emergency food and water. The exterior passageways were clean and clear of any obstructions. There is one (1) self-latching gate for emergency use. The LPA observed the backyard, which has a covered outdoor area and appropriate furniture for outdoor use. The outside area was observed to be large enough to conduct outdoor activities. There are no bodies of water noted at the time of the visit . The physical plant of this facility location is in compliance with Title 22 regulations at this time. During today's visit, the LPA completed Component III with the Applicant Representative. Component II was completed on 03/18/2025. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. No corrections needed at this time. Exit interview conducted. The report was reviewed, and a copy was provided.