Facility Evaluation Report

Licensing Program Analysts (LPA) M. Medina conducted an announced Pre-licensing inspection on this date. LPA Medina met with Licensee, Mary Ellen Gurrola and Andrea Duran. This address is currently licensed for 4 residents.

LPA toured facility. Common rooms have adequate furnishings and lighting. All of the resident bedrooms have required furnishings and adequate lighting. Hot water temperature measured at 108 degrees F. LPA observed a supply of extra bed linens and personal hygiene and grooming products. First Aid kit and manual are present with regulation items. Kitchen observed to have dishes, plates, utensils. Cleaning supplies will be stored in locked cabinet under the sink. Medications will be kept in a locked cabinet in the dining room area. A fire extinguisher is present and has a service date of 4/29/2021. Smoke detectors and carbon monoxide detector tested and observed operational during today's inspection.

Outside of the facility toured. All fire exits open free of obstruction.

All required postings are posted. Facility phone number will be (559) 784-3520.

Component III conducted during pre-licensing inspection.

I have 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.

Pre-Licensing is complete and this facility has no deficiencies.