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25 | On 07/16/24, Licensing Program Analyst (LPA) Talwinder Bains met with administrator ,Valentin Gergi , to conduct an Pre- Licensing visit. This application is a change in ownership (CHOW) . This address is currently licensed as SEFORA'S HOME CARE, Facility # 347004524 . Administrator holds a current administrator certificate (# 6052688740 with expiration date 07/07/25 ). The facility currently has 6 residents during today's inspection. Facility has fire clearance ( 01/18/24) approved for 6 Non Ambulatory residents. Administrator stated that 2nd floor will be used for Staff Use Only NOT for Residents.
LPA toured the facility with administrator. LPA toured residents bedrooms and they were properly furnished and maintained. LPA toured common bathrooms and observed to be clean and sanitary. The food supply is within compliance, 2 days of perishable and 7 days’ worth of non-perishable food items. Smoke detectors are operational. There are carbon monoxide detectors which are functioning. The Fire extinguisher was charged, serviced (09/08/23) and functional. Grab bars were present at the toilet and in the shower. All exits were unobstructed. All toxins, medications, and sharps were locked and stored away. The disaster and fire drill is current. Facility's temperature was 74 degree F during inspection. Hot water temperature was observed to be 108 degrees F, which is within the regulation range of 105-120 degree. First aid kit found to be complete.
LPA reviewed 1 sample file for 1 resident and for 1 staff and found out that all required paperwork was present. LPA reviewed medications for 1 resident and found out that facility was managing medications per resident's physician's orders without any errors.
Component III-RCFE was completed with administrator. LPA will forward findings to the Centralized Application Bureau (CAB) that facility met all the pre-licensing components.
Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations on today's pre-licensing inspection. A copy of this report was provided to the facility. Exit interview conducted.
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