Facility Evaluation Report

On 07/26/23, Licensing Program Analyst (LPA) V Gorban conducted announced Pre-licensing visit. LPA identified himself and discussed the purpose of the visit. LPA conducted the inspection with Administrator I’Isha Cooley, Certificate number 600726735, with expiration date 10/22/2024.

A tour inside and outside the facility was conducted. Two resident’s rooms have adequate furnishings and lighting and all the required furnishings (bed and dresser). Mattress and linen appeared to be in good condition. Home is fire cleared for one ambulatory resident. LPA observed a supply of extra bed linens and towels. Bathroom is properly equipped, and trash cans has a fitting lid.

Hot water temperature was observed to be 112 degrees F. Kitchen observed to have dishes, plates, utensils. Sharps/knives and medications are locked in the kitchen. Cleaning supplies are stored and locked in the bathroom. First aid kit contains all the required items. Fire extinguisher is present and was serviced on 01/05/2023. Smoke detectors and carbon monoxide are tested operating properly.

Outside of the facility toured. Exits open free of obstruction. Gate is self-latching. No outside hazards observed.

All required postings are posted. Facility phone number is 559- 981-2497.

Component III conducted during pre-licensing inspection.

LPA have found that applicant has met all pre licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.

Pre-Licensing is complete, and this facility has no deficiencies.

Exit interview conducted, report is signed and copy of the report provided for facility records.