Facility Evaluation Report

Licensing Program Analyst (LPAs) K.Kaur and J. Leffall conducted Pre-licensing follow up Inspection on this date. LPA met with Licensee Melanie Rafanan and Jose Pira. A tour of the facility was conducted together. This is a new facility with no residents in care. The facility was observed to be at a comfortable temperature, and in good repair. No passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout.

The facility is a 3-bedroom, 1-bathroom home with a fire clearance for 6 non-Ambulatory. Licensee has made all corrections. Water temperature tested at 110 F. LPAs observed Liability insurance paperwork. Non-discrimination notice has been posted. All debris was cleared from back-yard and tools were moved to a locked location. Night stands were added to the bedrooms. Facility telephone number is 559-802-3166.

Component III was conducted during today's pre-licensing visit. Applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.