Facility Evaluation Report

On 4/05/2023, Licensing Program Analysts (LPA) Melissa Spaeth conducted an announced Pre-Licensing visit to this facility and met with Nicole De Las Alas. This is a new application and a fire clearance dated 1/16/2023 was received for five (5) non-ambulatory and one (1) bedridden resident. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6.

Component III was conducted with the applicant from 9:15 am until 9:50 am.

Today’s site visit consisted of LPA touring the physical plant inside and outside from 9:50 am until 10:25 am and observed the following:

LPA observed comfortable seating in the living room and family room. The dining room contained table and chairs. Fresh fruit was available for residents on the dining room table. The family room contained a television and games.

The kitchen contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. A locked kitchen cabinet underneath the kitchen sink contained the cleaning supplies. There is a designated locked cabinet for resident medications and for the knives. A fire extinguisher was located in the kitchen. Appliances in the kitchen appeared to be functional.

The backyard contained comfortable seating for residents. The side gate leading from the backyard to the front yard was not locked.