Facility Evaluation Report

On 5/22/23 at 9:33 AM, Licensing Program Analyst (LPA) Malia Thao arrived announced to conduct a follow-up Pre-licensing inspection. LPA met with Licensee/Administrator (LIC) Jonathan Johnson.

1. All fire extinguishers with service tags showing last service date of 4/28/23.

2. All toilets observed with a newly installed toilet seat/lid.

3. Sampled bathrooms observed with clean floors behind the toilets.

4. Hot water in sampled bathrooms of bedrooms #16, 18, and 12 observed within 105-120 degrees F range.

6. Emergency lighting observed operational.

7. Sample of rooms observed with a chair(s).

8. Sample of rooms observed with toilet paper.

9. Theft and investigative procedures observed posted.

11. RCFE Complaint Poster (PUB 475) posted in correct size.

12. Licensee's visiting policy is posted.

13. Pre-appraisals observed completed for a sample of new residents.

All pre-licensing requirements have been met. LPA will notify CAB in Sacramento for final review prior to license being issued.

Exit interview was conducted. A copy of this report was given to Licensee Jonathan Johnson, whose signature confirms receipt of this report.