The Grapevine RCFE

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Melisa Rankin conducted a Pre-licensing visit and met with the Applicant Audifas Duarte. This is a new facility application for a Residential Facility for the Elderly (RCFE) for six (6) non-ambulatory residents; two (2) of which may be bedridden. Fire Clearance was approved on 04/08/2026. Bedridden rooms were approved in the 2 bedrooms adjacent to the dining room and kitchen area. 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 will be following Title 22 Regulations. There is a functioning telephone on the premises. The emergency exiting plans/sketches are posted at the entrance. The emergency telephone numbers are posted on the bulletin board near the front entry way and in the dining room. COMMON AREAS: The living room area is equipped with a television and comfortable furniture. There is a dedicated area for the posting of required documents. Smoke and carbon monoxide alarms were tested and functional at the time of the visit. A fire extinguisher is located near the kitchen, extinguisher was charged and inspected on 4/3/26. BEDROOMS: The facility has six (6) resident bedrooms, all bedrooms have direct exits to the outside. There are fire sprinklers in the facility. There are fire doors leading into the bedridden rooms. All residents’ rooms are set up with beds, nightstands, chests of drawers, chairs and closet space. Lighting in the rooms appeared adequate. In addition, no bedroom is used as a passageway to another room. There is a office located next to the living room. All rooms were free of odors. All window screens were clean and maintained in good repair. Continued 809-C KITCHEN: Kitchen knives are locked and inaccessible in a locked kitchen cabinet. A seven-day supply of non-perishable food was available. 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 118.5 degrees Fahrenheit. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area. BATHROOMS: There are four (4) bathrooms. Two (2) restroom are in a resident bedroom, the other two (2) are located down the 2 hallways. All bathrooms are equipped with toilets and shower grab-bars, and slip resistant flooring or mats. Hot water delivered was between 116 and 118.6 degrees Fahrenheit. LAUNDRY: There is a laundry area equipped with washer and dryer. The washer and dryer are in the garage. Detergents and cleaning supplies will be stored in the garage. SURROUNDING GROUNDS/OUTDOOR AREA: The exterior passageways were clean. The patio is furnished with outdoor furniture for residents’ use. The building has a central entrance for residents and visitors. Side passageways are cleared and have self-latching gates. There is no body of water observed at this time. RECORDS: Administrator/Licensee has a administrator certificate that expires 7/21/2027. Record keeping, training records and requirements were discussed. The residents’ and staff files will be stored in the office location and kept confidential. MEDICATIONS: Medications will be stored in a locked cabinet in the office. Medication records and requirements, including PRN were discussed. First Aid Supplies were reviewed and complete. Component III was conducted in conjunction with the visit. 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 until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview was conducted and reviewed with the applicant. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jul 23, 2026

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: AUDIFAS DUARTE Interview Method: Telephone interview On June 22, 2026, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. 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. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 22, 2026