Penda Homes Assisted Living 2

Type of visit: Prelicensing

On 08/25/2026, Licensing Program Analyst (LPA) Imaculada Vasquez conducted an announced pre licensing inspection of the facility. On 02/10/2026, the Centralized Applications Bureau (CAB) received an initial application to operate a Residential Care Facility for the Elderly at this location. LPA met with Applicant Mildred Kiminyei, whose administrator certificate expires on 04/12/2027. LPA reviewed the signed Fire Safety Inspection Request (STD 850), dated 03/03/2026, indicating the home was granted fire clearance for a total capacity of six (6) residents: three (3) ambulatory residents in bedrooms 2 and 3, two (2) non ambulatory residents in bedroom 4, and one (1) bedridden resident in bedroom 1. LPA toured the one story home with Mildred. The home consists of four (4) bedrooms, three (3) bathrooms, a kitchen, dining room, living room, and an attached garage. Utilities were operational. Indoor and outdoor passageways were free of obstructions, and shaded outdoor seating was available. No bodies of water were observed on the premises. The applicant tested the smoke alarms and carbon monoxide detectors, and LPA verified they were operational. A charged fire extinguisher was observed by the front door, last serviced on 03/30/2026. The home has a central heating and air conditioning system with panels located near the dining area. All resident bedrooms were properly furnished with a bed, chair, drawer space, and functional lighting. Bathrooms contained nonskid mats and grab bars. The living and dining rooms had adequate seating for the requested capacity. continued on LIC809C continued from LIC809 The kitchen had sufficient space for storing a two day supply of perishable food and a seven day supply of non perishable food items. Disinfectants, laundry detergent, and cleaning supplies were secured in a locked cabinet in the laundry room. Medications will be centrally stored in a locked cabinet in the hallway. Staff and resident files will be maintained in a locked cabinet in the living room. LPA observed an ample supply of bedding, linens, bath towels, hygiene supplies, books, board games, and emergency food and water for future residents. Emergency phone numbers, the disaster plan, personal rights, and complaint procedures were posted near the dining room. No issues or concerns were observed during today’s visit, and no corrections are required. Therefore, the pre-licensing inspection is complete, and the facility has no deficiencies. An exit interview was conducted, and a copy of the report was reviewed with and provided to Applicant Mildred Kiminyei.the state’s words, verbatim · CDSS document, Aug 25, 2026

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 06 Census : 0 Method: Telephone call with CAB COMP II Participants: Mildred Kiminyei Administrator/Licensee participated in COMP II via telephone call with CAB analyst. Identification of the Administrator/Licensee was verified by confirming driver’s license number. During COMP II, Administrator/Licensee confirmed the understanding of Title 22. Component II was successfully completed. Administrator/Licensee was advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Administrator/Licensee's understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jul 24, 2026