Petal Guest Home

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Carmen Lopez conducted an announced Pre-Licensing with the Component III inspection and observed the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted at the front entrance by applicant Jeremy Bagaoisan and Cherry Cook. LPA was granted entry after identifying herself and disclosing the purpose of her visit. The facility is a new Residential Care Facility for the Elderly (RCFE) undergoing their initial licensure. The fire clearance was approved on 03/11/2026 and reflected that the facility was approved for five (5) non-ambulatory residents, in rooms 2, 4, 5, and 6, and one (1) bedridden resident in bedroom #3, in at any given time at the facility site. Their fire clearance was granted with no violations. Their facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by applicant Bagaoisan, conducted an overall inspection of the internal and external areas of the facility. There are three (3) bathrooms for residents to use. The facility has all the required furnishings and linens. Personal hygiene items will be purchased. Non-skid mats were present. The facility was clean, sanitary, and in good repair. Bedrooms allowed easy passage with no obstructions. Toilets, sinks, and showers were all in working order. Each window screen was in good condition. The facility’s ambient internal temperature measured at 83.3ºF. Hot water temperature at taps that will be accessible to residents were also compliant. During the visit, the applicant had portable a/c devices brought in. All four bedrooms will containe individual a/c devices. (Continuation on LIC809-C) Continuation of LIC809) All outdoor and indoor pathways were free from obstruction and slip hazards. Fire extinguishers (01) were newly purchased within the year. Applicants are aware of having updated annual tags to their fire extinguisher. Smoke and carbon monoxide detectors, emergency lighting all present and operational. The facility has an operational phone on the premises. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and activities. The facility has no pools or bodies of water that were observed on site. Per applicant Bagaoisan, no firearms or ammunition are or will be stored on the facility grounds. All toxic substances, poisons, and chemicals were safely stored in inaccessible cabinets or stored in a locked area. There was a fireplace that was open or open-faced heaters present on the facility premises and will kept inaccessible with a purchased fireplace gate that will be delivered 08/11/2026. The facility has a locked area for the storage of sharp objects which will be inaccessible to residents. The facility kitchen was stocked with appropriate cooking items and utensils. Some non-perishable and perishable food items were stocked but additional items will be stocked in the refrigerator and kitchen cabinets once residents have been accepted into the facility. The facility is aware that a seven (7) day non-perishable and two (2) day perishable food supply shall stocked be at all times. Medications will be secured in a locked cabinet that is inaccessible to residents. A sharps container was ordered during the inspection with the anticipation delivery date of 08/11/2026. A first aid kit and manual were readily available. Residents and staff files will be kept in a locked cabinet. Licensing postings were observed posted in visible areas of the facility. LPA discussed continuing operation requirements, record keeping, reporting requirements, and physical plant compliance with the applicant, along with the Component III training. The items reviewed complied with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The Pre-Licensing and Component III were completed during today’s visit. The applicant was advised that the facility is ready for licensure pending management's final review and approval. An exit interview was conducted with applicant Jeremy Bagaoisan, to whom a copy of this report, along with the licensee Appeal Rights (LIC 9058 01/16) were provided at the conclusion of the visit. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 10, 2026