1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | On 03/01/24, Licensing Program Analysts (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit and was allowed entry into
the facility. LPA met with Licensee 1(L1) Ceilia “Cece” Lazaga and Licensee 2 (L2) Jethronel Lazaga.
The facility is a 5 bedroom, and 2 bathroom home and fire clearance were granted for 6 non-Ambulatory for a total capacity of 6. LPA toured the facility with L1 and L2. There are no residents present during this inspection. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Medications will be locked in activity room closet. First aid kit was observed and contained all required items.
Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked in kitchen drawer. Refrigerator temperature maintained at 37 degrees F and freezer maintained at 0 degree F. Adequate non-perishable and perishable food supplies observed. LPA observed an extra supply of bed linens, towels, and personal hygiene products. Bedrooms were observed to have the required furnishing and are ready for occupancy. Hot water temperature ranged between 109.9 to 110.8 degrees F in bathroom 1 and between 109 to 109.9 degrees F in master bathroom. Cleaning supplies and chemicals observed to be locked in garage cabinet and under kitchen sink. A fire extinguisher was observed and had a service date of 11/13/23. Smoke detectors and carbon monoxide were observed to be operational during this inspection. Outside of facility toured. Exits were open and free of obstructions. LPA observed side gate to be self-latching and free debris.
Component III was conducted during today's pre-licensing visit.
We have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to
CAB in Sacramento for final review prior to license being issued. |