Primavera Gardens Facility

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Maria (Mita) Partoza arrived announced to conduct the facility's pre-licensing visit for change of ownership (CHOW). LPA met with current administrator (ADM) and applicant representative Lisa Lanford. There are 19 residents present at the facility. This facility address is currently licensed under Primavera Gardens with license #435202754. The applicant will transfer services to the new license once approved. The facility has approved fire clearance to serve adults 60 and over, capacity of 20 and all may be bedridden. The facility is retaining the same capacity and no changes in the number of resident and services provided. ADM stated that an additional room may be added in the future. During visit, LPA inspected the facility with ADM inside and outside to include the kitchen, activity room, outdoor perimeters, entry way, parking area, 13 residents room, shower rooms, lavatory that are shared, the laundry area and medication room. LPA observed that the facility has posters for the Local Long-Term Care ombudsman (LTCO) and California Compliance poster for assisted living and Residential Care Facilities for the Elderly (RCFE), it includes the emergency telephone numbers, personal rights, and facility sketch, notice of fire inspection from the Fire Department. The entry way has the Personal Protective Equipment (PPEs). Medications, chemicals and sharps are locked in their respective areas and are not accessible to residents in care. The first aid kit are readily available when needed. page 1 of 2 LPA observed that the facility is equipped with lift equipment, and hospital beds that has half body rails and full body rails. Bathrooms were supplied with hygiene products and paper supplies, grab bars, anti slip mats and shower chairs. The resident rooms have sufficient storage to store personal belongings. Resident's room are kept sanitary and organized. LPA observed surveillance camera located at the common area (hallways, activity area and the exterior perimeter). The facility is equipped with fire sprinklers, fire and carbon monoxide alarm system and a wall fire pull alarm system. The facility is equipped with door alarm system. The facility has 4 fire extinguishers. All fire exit routes were free and clear of obstruction and tripping hazards. Water temperature was within regulatory range of 115 to 118 degree F when measured with a digital thermometer. The facility temperature is at 68 to 70 degree F. LPA observed 2 days of perishable and 7 days of non-perishable foods. The refrigerator temperature is at 36 degree F and Freezer is at 0 degree F. The facility is a one story building with no ramps, the parking lot has designated ADA (Americans with Disability Act) compliant parking spaces, the outdoor area is maintained and no hazardous materials were observed. The exterior walkways are free from obstructions. The facility is gated and has perimeter fence for safety of the residents. The gates remains opened during business hours. Component III was presented and discussed with administrator Lisa Lanford. Pre-licensing inspection is complete and this facility has no deficiencies/corrections. Report will be submitted to the Central Application Bureau (CAB) and a final review of the application will be conducted. The license #435202988 for Primavera Gardens Facility LLC is not active as of today's pre-licensing inspection. The application is subject to final approval by Central Application Bureau (CAB) and additional requirements may still be requested to complete the application. An exit interview was conducted with Administrator and applicant's representative Lisa Lanford and a copy of the report was provided. page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Apr 28, 2026

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 20 Interview Method: Telephone interview On 3/10/2026, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’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 Pre-licensing readinessthe state’s words, verbatim · CDSS document, Mar 10, 2026