Af Care Home

Type of visit: Prelicensing

On 06/10/2026 at approximately 9:30A.M., Licensing Program Analyst (LPA) Ali Deniz conducted a pre-licensing inspection and was greeted by Applicants Rachel Baylen and Flores Baylen. The inspection was conducted as part of the initial licensing process. The facility is a single-story residence consisting of six (6) resident bedrooms, three (3) bathrooms, one (1) staff bedroom, one (1) office, and common living areas. The facility received an approved fire clearance dated 01/15/2026 for a capacity of six (6) residents, including three (3) ambulatory and three (3) non-ambulatory residents. At the time of the visit, there were no residents in care. LPA conducted a tour and inspection of the indoor and outdoor portions of the facility. The facility was found to be clean and comfortable temperature with bedroom doors free from obstruction. Facility has an Infection Control plan on file. LPA observed fire extinguishers mounted on the kitchen and hallway walls. The fire extinguishers were purchased new on 01/08/2026, and proof of purchase was provided and reviewed. Cleaning products, sharp items, other toxins and chemicals are kept in the kitchen cabinets and laundry room were secured and locked. Additional supply of hygiene products available to residents. Water was measured at 113.6-degrees F in faucets used by residents which is within regulation between 105- & 120-degrees F. LPA observed one all bathrooms did have grab-bars and non-slip bathmats. Mattress pads were in place or available for resident’s use. All emergency exits were found to be unobstructed. Facility has combination smoke and carbon monoxide detectors which were operational during visit. LPA observed that the facility is equipped with a fire sprinkler system. Documentation reviewed indicated the system was last inspected on 10/26/2025 and was in working order at the time of the inspection. LPA confirmed that the contents of the facility's First Aid Kit were sufficient. Continued on LIC809-C page... Continued from 809 page... LPA observed emergency lighting throughout the facility. Emergency water supplies were available on-site and readily accessible at the time of the inspection. LPA also observed an adequate supply of nonperishable food in compliance with regulatory requirements. Applicants were advised to obtain and maintain an adequate supply of fresh food prior to accepting residents into care. The facility was equipped with an adequate supply of kitchen utensils and equipment. Applicants stated that sharp objects, including knives, will be stored in a locked location at all times. LPA observed a locked medication cabinet located in the office. Applicants stated that all resident medications will be secured in a locked storage area at all times. LPA observed the required postings including emergency disaster plan, the Let Us Know Complaint poster and See Something Say Something poster. RCFE Component III was reviewed with Applicants. No Deficiencies or Advisories given during visit. Pre-Licensing completed. Facility is ready to be Licensed as a Residential Care Facility for Elderly (RCFE). LPA will submit Pre-Licensing Application Report to the Application Unit Analyst in Sacramento. Application Unit Analyst will notify Applicants of Status. Exit interview conducted. Copy of report discussed and provided to Applicants. The signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Jun 10, 2026