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25 | Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an announced Pre-Licensing visit to this facility and met with Chris Yeng, Administrator. Facility is fire cleared for three ambulatory, two non-ambulatory and one bedridden. Currently there are no residents in care. Due to the situation surrounding the Corona Virus Disease 2019 (COVID-19) and to implement mitigation measures, today's visit was conducted virtually with the use of face time with the applicant. Visit was conducted on 12/07/2020. Component three was also conducted and completed on 12/07/2020.
LPA was given a tour of the physical plant. Facility has seven bedrooms. Two bedrooms are designated for staff. Four bedrooms are private bedrooms while one bedroom is a shared room. LPA observed all bedrooms to be appropriately furnished. There are five bathrooms. One bathroom is designated for staff. All resident bathrooms have grab bars and non skid mats. Hot water was observed by LPA and administrator to be at 120 degrees by using a thermometer. The facility smoke alarm system and carbon monoxide are operable. LPA checked the kitchen area for the ability to prepare and store food. LPA observed knives, sharp objects, and cleaning supplies to be locked away and inaccessible. Medications will be locked in kitchen cabinets. Emergency telephone numbers are on the kitchen wall along with other required posters. There is a working telephone on the premises.
LPA toured all common areas. LPA observed the home to be clean and furniture to be in good condition. In the back of the home is a swimming pool that has a locked gate and is inaccessible to residents.
A telephonic exit interview was conducted and a hard copy of the report was provided via email for signature. LPA will notify Centralized Application Unit regarding component three being complete along with the pre-licensing visit having been conducted.
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