Riszen

Type of visit: Prelicensing

On today's date Licensing Program Analyst (LPA) William Vanegas made an announced visit for the purposes of conducting a continuation of the pre licensing visit initially conducted on July 2, 2026. Upon arrival LPA was greeted and granted entry to the facility by Administrator. LPA explained his purpose for the visit and began a tour of the facility and observed the following. The corrections that needed to be made in order to be licensed have been corrected. Including obtaining a first aid manual that was published by the American Red Cross Association, obtaining adequate dining chairs that are suitable for resident use, obtaining a sufficient amount of perishable and non perishable food along with a sufficient amount of emergency water. Additionally Administrator made the correction of obtaining a sufficient amount of patio furniture as well. Component III was completed with Administrator and the pre licensing visit is now complete. Based on observations made the facility is ready to be licensed and no deficiencies were observed throughout the visit. An exit interview was completed and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 7, 2026

Type of visit: Prelicensing

On today's date Licensing Program Analyst (LPA) William Vanegas and Regional Manager (RM) Monica Tran conducted an announced visit for the purposes of conducting a Prelicensing inspection. Upon arrival LPA and RM were greeted and granted entry to the facility by applicant. LPA explained the purpose for the visit and began to conduct a tour of the facility and observed the following. Structure: The facility is a one storied home equipped with four bedrooms one of which is a staff room and three of which are utilized for residents in care. The facility is equipped with a two car detached garage. The facility is equipped with a large backyard which is sufficient enough to participate in outdoor activities upon resident request. The backyard is equipped with an outdoor shaded area however there is no outdoor furniture for sitting. Applicant has a valid Administrator certificate valid from February 24,2025 through February 23, 2027. The initial application was received on March 28,2025. The initial application requested to be licensed for a capacity of 6 residents 1 of which is bedridden and 5 of which are non-ambulatory. Bedrooms: All resident bedrooms were observed to be large enough to walk about freely, and large enough to accommodate all required furnishings. All bedrooms were observed to have a chest of drawers, a bed, clean linens in good repair; meaning no strains or tears, a chair, a reading lamp, and enough storage space to store personal belongings. LPA observed all bedrooms to be free of any hazards or obstructions. Restrooms: All restrooms were observed to be clean and free of any mildew and debris, all water faucets, and toilets tested operational. LPA observed main restroom to have all required furnishings including a shower chair, grab bars, and slip resistant floor matts. Hot water temperature tested between 116.6 and 116.7 degrees Fahrenheit CONTINUED ON LIC809-C. Linens and Hygiene: LPA observed a sufficient amount of extra linens and hygiene products in the storage space located in the hallway. Required Postings: LPA observed all required postings to be displayed upon entry ways and hallways the following postings include: The rights to resident council, personal rights, PUB 475 (see something say something) sign, Long term care ombudsman sign, first aid posting, visiting policy, and theft and loss policy. Food Services: LPA observed kitchen area to be clean and free of any mildew and debris, LPA observed kitchen area to have a refrigerator, gas stove, dishwasher, dryer, and washer all appeared to be in good repair and tested operational. LPA observed for there to be an insufficient amount of emergency water, and an insufficient amount of perishable and non perishable food. LPA observed four dining room chairs to be unstable and not suitable for residents in care to sit and dine comfortably. Smoke Detectors/Fire Clearance: LPA observed smoke detectors and carbon monoxide detectors to be in good repair and tested operational. LPA observed fire clearance to be approved and inspected on March 18, 2026 by inspector Brian Riggs. The fire clearance is approved for a capacity of 6 with 1 being bedridden in bedroom number 2. LPA observed first aid kit to have most required items including adhesive tape, bandages, scissors, tweezers, and a thermometer. Applicant is missing a first aid manual issued by the American Red Cross Association or the American Medical Association. Based on observations made during today's inspection pre licensing is incomplete with deficiencies that will be resolved by July 10, 2026. A follow up pre licensure LIC809 will be generated upon resolution of deficiencies. An exit interview was conducted with applicant and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 2, 2026

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Interview Method: Telephone interview On 5/22/2026, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / 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 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 22, 2026