Faculty Happy Home Care

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Erica Mosley conducted a Pre-licensing visit at 10:30 a.m. and met with the Applicant Karen Rosales. This is a new facility. The application is for a Residential Care Facility for the Elderly (RCFE), for five (5) non-ambulatory residents and one (1) bedridden resident. The pending facility has a Dementia Care Program. Fire Clearance was approved on 10/16/2025. Age range sixty (60) and over. Approved for six (6) residents of which one (1) may be bedridden and five (5) may be non-ambulatory. Bedroom #1 approved for single bedridden resident. All bedrooms approved for non-ambulatory residents. Hospice waiver pending for six (6) residents. The facility is a single story home located in a residential neighborhood. At 10:35 a.m., the LPA, and the applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. COMMON AREAS: The facility has two (2) living rooms which were equipped with a television and were furnished appropriately. LPA observed a billiards table for resident use. Required documents were posted in the common hallway adjacent to the entrance. The emergency telephone numbers are posted in the common hallway. At 11:07 a.m. smoke, fire door and carbon monoxide alarms were tested and functioned properly at the time of the visit. Medications will stored and locked in a cabinet adjacent to the kitchen along with the residents’ and staff files. Activities were observed in the common areas. GARAGE /LAUNDRY: The garage is adjacent and accessible through the larger living room / great den which will remain locked at all times. The garage is split in two (2) rooms. The first room is the laundry room which is equipped with a washer, dryer and detergents. The garage / second room is and will be used as storage. Emergency water is also located in the garage. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C...KITCHEN: Kitchen knives are stored locked and inaccessible in a locked kitchen cabinet. The facility has a sufficient supply of seven (7) day non-perishable food that was checked for expiration dates. The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Kitchen cleaning supplies will be stored and locked under the kitchen sink. Hot water temperature was recorded at 111.0 degrees Fahrenheit within the required range. Trash cans have a tight-fitting lids. There were no pesticides or toxins stored near food, or preparation areas. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. There are multiple fire extinguishers throughout the facility, the main fire extinguisher is located in the living room, which was purchased on 10/17/2025. Auditory alarms at the entrances and exits were observed and functional at the time of the visit. BEDROOMS: There are seven (7) total bedrooms in the facility; six (6) bedrooms are designated as private, single occupancy, resident rooms and one (1) staff room. The staff room will be kept locked at all times. All passageways were observed to be clear of obstructions. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. Each bedrooms have its own supply of linens stored in the closet. BATHROOMS: There are four (4) full bathrooms. Three (3) common, shared resident bathrooms, and one (1) private, resident bathroom. Bathrooms are equipped with toilet and shower grab bars, and slip resistant surface / mat. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water temperature was recorded between the range of 110.8- 111.0 degrees Fahrenheit all within the required range. SURROUNDING GROUNDS/OUTDOOR AREA: The exterior passageways were relatively clean. The patio is furnished with outdoor furniture for residents’ use, and shade is available. Only one (1) , The North, passageway is used as an emergency exit which was free of obstructions at the time of the visit. The North passageway has a self-latching gate. The self-latching mechanism is located inside the gate. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. Both documents were observed to be complete. The facilities policies and procedures, as they pertain to infection control and emergency planning meet the regulatory standard. At the time if the visit the LPA reviewed the facilities contact information on file including phone numbers, and email address. Licensee Representative added a facility phone number and confirmed that all information is accurate. During todays visit the applicant completed Component III orientation. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating under the new license until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect the approval of your license. Pre-Licensing is complete. No citations issued. Exit interview was conducted and reviewed with the applicant. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jun 22, 2026

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Feb 3, 2026