Facility Evaluation Report

Licensing Program Analyst (LPA) M. Medina made an Announced Pre-licensing on this date. LPA introduced self and allowed entrance by Breann De Boer, Licensee/Administrator.

This pre-licensing visit is a request for change of location for Facility #547208862.

LPA Medina toured facility: All resident will have private bedrooms. All common areas have adequate seating available for residents. Kitchen has plates, cups, utensils, pots and pans. Hot water measured 106 degree F. Bathrooms toured. Securely fastened grab bars were observed and are present near office area all showers. Tub/Showers have non-skid mats. Medications to be stored and secured back . Two (2) fire extinguishers present with a service date of 04/19/22, one located in kitchen and the other near garage door. Facility has a pull station and equipped with fire door/sprinkler system. System observed operational during today's inspection. and observed . Carbon monoxide detector present and observed operational.

All required postings are posted. Facility phone number will be (559) 793-2693 upon relocation. Temporary facility number is (559) 350-3695.

Outside of facility toured. All fire exits open freely and are free of obstruction.

LPA found that applicant has met all pre licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.