Primecare Assisted Living

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Tena Herrera conducted an announced visit and met with Administrator Hiransha Keerthisinghe for the purpose of conducting a Pre-Licensing Inspection / Component III visit. The facility has an approved fire clearance to be licensed to serve 4 Ambulatory Residents in rooms 101,110,112, 16 Non-Ambulaotry Residents in rooms 103,104,105,113, 114,115,116.117,118 10 Bedridden Residents in rooms 106,107,108,111,119. The facility is a single story building that includes: 17 resident rooms (of which 7 rooms have a private half bath), 2 shower rooms, 4 full bathrooms, 1 visitor restroom, kitchen, dining area, activity room, administrator office, conference room, staff break room, reception area, lobby, linen supply closet, medication closet, emergency supply room, generator area, and laundry room. The physical plant was toured inside and out alongside and LPA utilized the Pre-Licensing Inspection Tool. The following was observed/inspected · Bedrooms are equipped with one bed, proper bedding, night-stand, chair, sufficient lighting, appropriate closet and drawer space. · Bedrooms are large enough to allow for easy passage between and comfortable for usage of beds and other required items of furniture. · Bedridden rooms had the 2 required exits, with door chimes that were tested and operable · Sufficient supply of linens available to permit weekly changing and are stored in linen storage cabinet. · Sufficient personal hygiene supply available. · Laundry machine (wash/dryer) observed and operable. · The bathrooms were toured and had working toilets/wash basin, showers had the required non slip mats, gab bars were observed near toilets and showers. (Continued on 809-C) · There are enough bath towels, hand towels and wash cloths. · Smoke Detectors and Carbon monoxide detectors are interconnected approved in the Fire Clearance, and facility has an emergency fire sprinkler system. · Fire extinguishers were observed and charged. · Cleaning solutions are stored in a locked closet and sharps/knives are securely locked in kitchen and inaccessible. · Kitchen cabinets, refrigerator/freezer, oven, microwave, dishwasher are in working condition, clean and sanitary. · Food Menu Samples observed. · Sufficient dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. · There is a designated space for Medications to be locked and inaccessible to residents. · Resident and Staff files will be stored in a locked closet. · First Aid Kit was observed with manual. · Physical plant is in good repair, building and grounds are free from hazards, window screens are in good condition. · There are two patio areas that are shaded to accommodate residents, no bodies of water observed. · Hot water temperature measured between 109.6 and 115.1 F and is within Title 22 regulation of 105-120 F. · The property is equipped with central air and heating, temperature remains at comfortable temp. · Variety of activity supplies was observed within the activity room. · Each exiting door has a door chime, they were tested and operable. · Rooms have call buttons, these were tested, demonstrated to LPA and operable. · Activity calendar and food menu are posted. · Ombudsman, Complaint Poster and Resident Rights signage are clearly posted. Component III was also completed at the time of the visit and all required documents for Licensing were discussed. Facility met the physical plant requirements/ inspection as required per California Code of Regulations Title 22 Division 6. An exit interview was conducted, and a copy of this report has been furnished to the Applicants. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Jul 21, 2026