Pre-licensing visit·April 20, 2026

On April 20, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted announced visit to this home. LPA was greeted by applicant Dean Guanlao and explained the purpose of today’s pre-licensing inspection visit. An application was submitted to CCLD on March 18, 2025, in the initial license application for a Residential Facility for the Elderly, ages 60 years and above. The applicant requested a capacity of six (6) individuals, of which maybe six (6) non-ambulatory, zero (0) ambulatory and zero (1) bedridden. Structure: The home is a three (3) bedroom, two (2) bathrooms, and a one-story home with a one (2) car garage situated in a residential neighborhood. The home includes a living, dining, kitchen, and laundry area. The living room included a fireplace. The living area included recliners seating. The kitchen has a refrigerator and stove. The rear exterior is fenced throughout. The passageways, walkways, and steps are free from obstructions. Bedrooms Residents: The facility had three (3) bedrooms for residents. There are three (3) bedrooms for non-ambulatory residents. All rooms include a twin-size bed, one (1) chair, one (1) nightstand, and one (1) table lamp. All bedrooms are equipped with a ceiling light. All rooms had a dresser, which complies with the requirement of 8 cubic feet of space. All rooms had closets for ample storage. The room also included wall night lights. Evaluation Report Continues Bedrooms Staff: There is no bedroom designated for live-in staff. Bathrooms: The home has two (2) bathrooms. Bathrooms are accessible in all rooms. All bathrooms have a working toilet, washbasin, and shower with grab bars and non-skid mats. Linens & Hygiene Supplies: Beds have the required linen supplies which include pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. An adequate supply of linen is stored in the hall closet. Emergency Phone Numbers, Exit Plan & Menu: Emergency phone numbers. The exit plan and menu are posted and readily available for review throughout the home. There is one (1) fire extinguisher located in the living room mounted on the wall. A telephone line is available in the living room. Emergency supplies and Personal Protective Equipment supplies are stored in the garage. The applicant as an approved Infection Control Plan on file. Food Service: Dishes, cups, and flatware are stored in the kitchen cabinets, inspected, and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked kitchen drawer. Food supply is adequately stored in kitchen cabinets and consists of canned goods. The kitchen counters also had small appliances. Smoke Detectors : Smoke and carbon monoxide detectors throughout the interior space. Hardwired smoke detectors in all three (3) bedrooms and hallways. Carbon monoxide is in the hallway. Toxins: All toxins are locked and stored under the kitchen sink cabinet. Evaluation Report Continues Appliances: Stove burners, oven, microwave, washer, and dryer are working. The kitchen counters also had small appliances which included a rice cooker. There is one (1) refrigerator in the home. The refrigerator measured a temperature of at least 40 degrees Fahrenheit for appropriate food storage. The home is equipped with a wall mounted a AC unit. Water Temperature: The water temperature is 108.3 degrees F. throughout the kitchen and bathrooms. Medications, First-Aid Kit & Book: A first aid kit is stored in the medication cabinet inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze, and current first aid manual locked and inaccessible to residents. The residents’ medications will be stored in the same medication storage cabinet locked in the dining area. Resident & Staff Files: The applicant is not handling the cash resources for residents. Records of staff and residents will be stored in the storage cabinet in the dining area. Reading Material, Games, Equipment & Materials: The facility has board games, books, magazines, and other recreational materials for the residents’ use all stored in the living room. Pool/Jacuzzi & Pets: There are no pets, jacuzzi, or pool in the fenced area. Evaluation Report Continues Fire clearance: A Fire Clearance inspection was conducted on August 13, 2025, approved for a capacity for six (6) non-ambulatory, zero (0) for ambulatory, and zero (0) for bedridden. Component III: LPA Dabuet conducted the Pre-Licensing inspection along with the information provided about how to operate the facility within substantial compliance with Component III PowerPoint. An exit interview was conducted, and a copy of this report has been furnished with the applicant Dean Guanlao. LPA Dabuet will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application. END OF REPORT