Pre-licensing visit·May 15, 2026

Licensing Program Analyst (LPA) Zabel Chochian conducted a pre-licensing inspection. Upon arrival LPA met with Applicants Besty Insular and Jolly Padayao. The facility is a single-story dwelling with five (5) bedrooms and two (2) bathrooms. Four (4) bedrooms are designated for residents and one (1) bedrooms is designated for staff. The facility fire clearance is approved for four (4) non-ambulatory residents. Facility will be vedorized by Tri-Counties Regional Center. LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The facility is one story. The combination smoke alarm/carbon monoxide detectors were tested and functioned properly. LPA observed one (1) fire extinguishers fully charged with attached receipt purchase date 03/16/2026. A physical plant tour was conducted with the applicants. Facility observed clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. All window screens are clean and in good repair. There is appropriate lighting in the facility and in each room. Indoor and outdoor passageways are free of obstruction. The facility has working alarms on all the exits. All required postings observed - Facility Theft and Loss Program, Licensing Complaint Poster, Resident Personal Rights, and Resident Council Rights are posted. Applicants will pick the Long Term Care Ombudsman poster from the local office and post as well. Emergency exiting plans and telephone numbers also observed posted. Applicant completed the Component III Orientation during the visit. KITCHEN/FOOD SERVICE: Kitchen and dining room floors are clean, sanitary, and odorless. Trash cans have tight fitting covers. Kitchen areas are clean and free of litter, rodents, vermin and insects. Food preparation areas have operating ventilation systems. There are no pesticides, poisons, or other toxic substances stored in any food storage or preparation area or with utensils. (Continue to LIC809c) Cleaning supplies are kept in areas separate from food supplies. Freezer is 0 degrees Fahrenheit. Refrigerator is 40 degrees Fahrenheit. A seven (7) day supply of non-perishable food is present. There are sufficient amounts of tableware, tables, dishes, and utensils. There are sufficient amounts of equipment for the storage, preparation, and service of food. All equipment, and dishes, observed clean and in good repair. There is a dining area convenient to the kitchen with appropriate dining furniture sufficient for total capacity. There is a first aid kit, including sterile dressings, bandages, thermometer, scissors, tweezers, and a current first aid manual. There is a locked centralized storage area in the kitchen for resident medications, personnel and client records. BEDROOMS: One bedroom located near the kitchen observed set up for staff use. Four (4) resident bedrooms observed large enough to allow for easy passage between and comfortable usage of beds and other required items of furniture, and any resident assistant devices such as wheelchairs or walkers. There is a bed for each resident equipped with good springs, clean and mattress, pillow(s), and bedding. There is a chair, nightstand, chest of drawers, sufficient lighting and lamp for each resident. There is sufficient closet and drawer space for each resident. There is a sufficient supply of clean linen, including blankets, bedspreads, top sheets, bottom sheets, pillow cases, and mattress pads. BATHROOMS: Bathroom floors are clean, sanitary, and odorless. The hot water temperature is between 105-120 degrees Fahrenheit - bathroom one measured at 109.8 and bathroom 2 measured at 110/5. All showers, and toilets have grab bars. All showers have non-skid mats. All fixtures operate properly. Night lights are present in hallways and bathrooms. There is a sufficient supply of hygiene items such as soap, paper towels, toilet paper, bath towels, hand towels, and wash cloths. Laundry room observed with washer and dryer; sufficient locked storage space for detergents and other hazardous supplies. Entry way from the laundry room to the garage is alarmed. Locked cabinet storage space observed in the garage with cleaning supplies and PPE supplies. SURROUNDING GROUNDS: appeared to be clean and organized. There is patio furniture and shade for the residents. The facility has no bodies of water. Physical plant is consistent with the submitted facility sketch/floor plan. Applicant completed the Component III Orientation during the visit. This report will be provided 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. Exit interview conducted. A copy of the report was reviewed and issued.