Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 0
Mar 5, 2025
Visit Reason
The inspection was a pre-licensing visit for a change of ownership at the facility.
Findings
The facility was toured and found to be spacious, well-kept, and in substantial compliance with regulations. No deficiencies were cited during the visit.
Report Facts
Number of private bedrooms: 6
Number of bathrooms: 6
Food supply duration: 7
Food supply duration: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hardeep Dhaliwal | Applicant and Administrator | Met with LPA during pre-licensing visit. |
| Joanna Nebeker | Administrator | Met with LPA during pre-licensing visit. |
| Todd Tryon | Licensing Program Analyst | Conducted the pre-licensing visit. |
| Troy Ordonez | Licensing Program Manager | Named in report header. |
Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 0
Feb 18, 2025
Visit Reason
The visit was conducted as a Component II evaluation via telephone call with the applicant/administrator to verify identification and confirm understanding of Title 22 requirements for licensing.
Findings
The applicant and administrator successfully completed Component II, confirming understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hardeep Dhaliwal | Administrator | Applicant/administrator who participated in the Component II evaluation. |
| Tracy Thompson | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Morrison Ambrose | Licensing Program Analyst | Named as Licensing Program Analyst who conducted the evaluation. |
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