Facility Evaluation Report

On 04/04/2024, Licensing Program Analyst (LPA) Renee Campbell arrived announced to conduct a Pre-Licensing Visit. LPA Campbell met with applicant Facility Designated Administrator, Jatinder Dhillon and explained the purpose of the visit. The purpose of this Pre-Licensing Visit is due to opening a new facility and to ensure compliance with Title 22 regulations.

The licensee will be the administrator of this facility. The facility administrator’s certificate # 6047876735 will expire on 04/23/2024 . Facility has a fire clearance for 2 ambulatory clients and 2 non-ambulatory client. Bedroom 3 is reserved for 2 non-ambulatory residents with 2 beds. Bedrooms 1 and 2 are reserved for ambulatory residents. There is also a meeting room that will be used as an office. This Applicant is seeking licensure for a 3 bedroom Adult Residential Facility (ARF) to accept and retain adult clients at any given time. The facility will not employ staff who are live-in caregivers but will have staff working shifts throughout the day/night for proper 24-hour care and supervision. There were no residents in care at this time. LPA Campbell toured the facility and reviewed the facility sketch and the facility reflected the approved fire clearance STD 850 document.

This facility will have a locked medication cabinet located in the kitchen. A first aid kit was observed and had all the required components. Fire extinguisher was located in the dining area and is in good condition. A tour of the common room was conducted, and furniture and furnishings were observed to be well kept. A tour of the backyard was conducted and no hazards were present. Perimeter gate was observed to be in good repair. The emergency exit was not obstructed. LPA Campbell observed adequate roof covering for patio. A tour of garage was conducted. A washer and dryer were identified.