Facility is an one-story rental house, in a residential area. The entire house has been completely remodeled, all appliances and furnishings are brand new. The required posting were posted in living room, accessible to residents. The smoke alarms and carbon monoxide detectors are dual and inter-connected. At 11:23am, smoke and carbon monoxide detectors were tested and observed to be functional. In addition facility has fire sprinklers throughout the entire house. The facility has two fire extinguishers, both purchased on 09/03/2025, one in the kitchen and one in the hallway next to the dining room.

With the assistance of the administrator, a tour of the physical plant was initiated at 11:00am and the following was observed:

Continued on 809-C

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

COMMON AREAS: The living room is located upon entry. The living room is a large space and is furnished with a television set, a coffee table and couches, appropriate for number of the residents. The dining room is furnished with a television set, table and six chairs with a table upon which games and puzzles are placed. There are locked closets for storage in the hallway near the dining room. Facility has cameras in common areas and has land-line telephone, internet and Wi-Fi access for resident's use. LPA observed a complete first aid kit and first aid manual in the living room.

BEDROOMS/BATHROOMS: There are six (6) bedrooms designated for client use and one (1) bedroom designated as staff room. All the bedrooms were furnished with beds, night-stands, chairs, closets, television sets and supply of bedding and linens. All resident bedrooms have exit doors, leading outside. Bedroom #7 is designated for staff room/office and has it's own bathroom. There are total of four (4) bathrooms for resident use, one bathroom near the living room, one between bedrooms #1 and #2, one in bedroom #6 and one bathroom next to the dining room. All resident bathrooms were observed to have proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 110.2 and 113.7 degrees Fahrenheit.

OFFICE/STAFF ROOM: Facility will use bedroom #7 as the office/staff room. LPA observed a locked filing cabinet, to maintain all resident and staff records. Medications will be kept locked in the office as well.

Continued on 809-C

SURROUNDING GROUNDS: The passageways and entrance to the home was clear of any obstruction. All entry and exit doors have a functional auditory alerts, when the doors open. The backyard of the facility is large enough to hold outdoor activities. The patio furniture included two sets of tables, chairs and an umbrella. There is no swimming pool or body of water. There is no garage or driveway, facility staff will use street parking.

In addition to the Pre-Licensing inspection, a Component III power point presentation was held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report was provided to the administrator.