Facility Evaluation Report

On 09/26/24 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility announced and met with Applicant Cathy Marvos to conduct a Pre-licensing visit. The facility has an approved fire clearance for six (6) non ambulatory residents.

During today's inspection, LPAs and Applicant conducted a tour of the interior and exterior of the facility to ensure there is no immediate health, safety and personal rights violation. LPAs conducted a tour of three (3) shared bedrooms, two (2) bathroom, laundry room, kitchen, garage, backyard, and common areas. LPAs observed resident bedrooms to have the proper furniture. LPAs observed the facility to have a proper storage for medications, toxins and sharps which is locked and inaccessible. LPAs observed facility to have ample supply of personal hygiene, linen, and non-perishable foods. LPAs observed the exterior of the facility to be free of obstruction. LPAs observed the facility to have the required posters of Community Care Licensing. LPAs observed fire extinguisher serviced on 8/20/24. The temperature in the facility was 73 degrees Fahrenheit during the time of visit

LPAs and Applicant completed the inspection tool and Comp III. Pre-Licensing completed and no deficiencies was observed. LPAs will forward findings to the Centralized Application Bureau (CAB) that facility met all the pre-licensing components. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations on today's pre-licensing inspection.

Exit interview conducted a copy of the report was left at the facility.