Pre-licensing visit·September 9, 2025

Licensing Program Analyst (LPA) Sanjay Vaid conducted an announced visit with Administrator Jennifer Zhang, Licensee Andy Zhang and CEO Ben Zhang. The purpose of the visit was to inspect the facility for Change of Ownership. An application was submitted to CCLD on 9/16/24, for a Change of Ownership of a Residential Care Facility for the Elderly. The requested capacity of 99 residents, (0) ambulatory, (99) non-ambulatory and (0) may be bedridden. Hospice Waiver request was submitted for up to Fifteen (15) residents. The facility is currently operating under Facility #198603648 Structure/Physical Plant: The facility is a large 3 story structure with 90 bedrooms, 86 bathrooms, 1 TV room, an administrative office, a restaurant style kitchen, two laundry rooms, a janitor storage room, and two elevators. The facility has a gas fireplace in the activity room with a metal screen cover and is inaccessible to residents. There is a large, covered patio area, with a fishpond on the premises. There is an underground floor for staff and visitor parking. Rooms #234,#235 and #126 were repaired and final permits were issued by City of Arcadia on 9/8/2025. Accommodations: Adequate accommodations observed throughout facility. Lighting: Sufficient Lighting throughout. Hallway and Doorways: Free and clean of obstruction and debris. continued 809C......... Residents Rooms: Bedrooms #307, #305, #206, #234, #235 and #105 were observed. Most bedrooms are equipped with overhead lighting, chair, night stand, lamp in addition to overhead lighting, large drawer, and closet space. Bedrooms have attached bathrooms. Bathrooms: Bathrooms observed to meet Title 22 requirements. Linens & Hygiene Supplies: Required linen/supplies which include, pillowcase, fitted sheet, blankets, bedspreads. Mattress pads were observed. Emergency Phone Numbers, Exit Plan & Menu: Facility has a working phone landline. There are two (2) cordless phones for resident’s use. Food Service: All food and adequate utensils such as, dishes, cups, bowls and plates were observed. Knives, cutlery and other sharps inaccessible to residents will be kept in a kitchen inaccessible to residents. Residents diets are posted in kitchen, soft, mechanical, diabetic, low sodium. Menu is updated monthly. Food is ordered twice weekly. Smoke Detectors & Fire Extinguishers: Facility has Fire Panel that notifies Fire Department when set off. Smoke detectors and also carbon monoxide detectors observed, throughout resident rooms and common areas. Tested and operational. Fire Extinguisher(s) fully charged and up to date 11/27/2024. Appliances: Kitchen stove burners and oven operational. Microwave, washers and dryers are operational. Toxins: Locked/stored for staff use only. Hot Water Temperature: Measured and within Title 22 Regulations Medications, First-Aid Kit & Book: Medications central storage location inaccessible to residents was observed. First aid kit inspected, and all required items observed. Residents & Staff Files: Facility has a locked areas for resident and staff files. continued 809C............. Reading Material, Games, Equipment & Materials, Postings: The facility has activity supplies, and an activities calendar posted. Required wall postings observed. Fire clearance: Fire clearance was approved on 07/01/25. Comp III was conducted at the Pre-Licensing visit, information provided about how to operate the facility within substantial compliance. An exit interview was conducted, and a copy of this report has been furnished to the applicant. 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 plant inspection has passed.