Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived announced to conduct a Pre-licensing Subsequent Facility Inspection and met with Applicant Roxana Galo. A pre-licensing inspection was completed on 06/21/2024.

During today’s visit LPA observed the following items:

* Applicant obtained all required postings including the CCL Complaint Poster, Long Term Care Ombudsman Poster, Resident's Rights, and the rights to Resident and Family Councils.

* Bedroom #1, #2 and #3 have chairs and dressers.

* Bedroom #2: have a regular bed in room.

* Bathroom located in bedroom #1 have non-skid mats placed in shower.

* Administration area have a designated locked cabinet that will be used for medication and file storage.

* Fire Clearance clarification was obtained indicating that the premises is able to be occupied by six non-ambulatory residents. Applicant agreed that no bedridden residents could be accepted and any variation to the fire clearance needs to be notified to the Department to have the fire department re-inspected and approved for any bedridden residents prior to acceptance.

* Water heater is delivering temperature within 105-120 F degrees.

Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulation. LPA will notify Application Unit Pre-licensing inspection is complete to proceed with the process of license. Pre-Licensing items needed to be repaired have been resolved. Pre-Licensing is now complete.

No deficiencies cited at today’s inspection. Exit interview conducted with Applicant and a copy of this report was given.