Facility Evaluation Report

On April 11, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived for a scheduled visit for the purpose of conducting a Pre-Licensing visit, (CHOW). LPA Mixson met with Kakani Shrikant, Administrator, introduced herself, and stated the purpose of the visit.LPA toured the location along with the Administrator and made observations following is a summary.

Physical Plant: The location is a single-story facility located at 222 Washington Ave Vista CA 92084, and has nine bedrooms, seven bathrooms, a living room, dining room, and a kitchen. A backyard and front drive-in space. The Vista Fire Department approved this facility for seven non-Ambulatory, zero-Ambulatory, and six bedridden residents, on March 21, 2025. The home has a first aid kit and manual, the Administrator has received First Aid and CPR training, and the Administrator’s certificate is current, and Posted.

Medications : LPA Mixson observed where medications are to be stored, locked, and inaccessible to the residents. The home is equipped with lights in the passages and stocked with emergency night lights throughout the home. The smoke and carbon monoxide detectors were observed and are operable. LPA Mixson observed two brand new fire extinguishers, charged and in the green, and obtained on 03/03/2025. The cleaning supplies were locked and inaccessible, along with the sharp objects and the Administrator informed the LPA there are no firearms on the premises.

Bedrooms: Nine (9) bedrooms were observed and are large enough to allow for easy passage. The required items of furniture were discussed currently at the time of this inspection. Chair, nightstand, and sufficient lighting for future residents.