Pre-licensing visit·May 13, 2021

Licensing Program Analyst (LPA) Sean Haddad conducted this announced inspection for the purpose of conducting a Pre-licensing inspection via pre-scheduled and pre-planned tele-visit, with future inspections to be conducted on site. LPA met with Administrator (AD) Gerald Dia, discussed the purpose of the inspection, and toured the facility. Facility is to operate a Residential Care Facility for the Elderly. Application was submitted to Community Care Licensing on 02/26/2021. This is a change of ownership. At 9:00 AM, LPA and AD observed the following. LPA stopped the inspection at 11:50 AM and resumed at 1:00 PM. Structure. This is a one-story home. Facility is a 5-bedroom, 2-bathroom, 1 story house with detached garage that is being used for storage and kept locked. There is a back yard with a patio cover for the clients. Facility telephone number is (562) 905-0034. Facility email address is lahabraplazaguesthomes@gmail.com. Bedrooms Residents. The 4 client bedrooms are spacious and will easily accommodate the client's furnishings. Lamps, chairs, linens, and storage for each client bedroom inspected. Bedrooms staff. The 1 staff bedroom is spacious and will easily accommodate the staff’s furnishings. Lamps, chairs, linens, and storage for each staff bedroom inspected. Bathrooms. Bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 114 to 115 F degrees. Linens & Hygiene Supplies. New linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: Reviewed. Food Service. 2 days perishable and 7 days nonperishable food supply observed. Carbon Monoxide, Smoke Detectors, Fire Extinguisher were observed and tested, including the wired smoke detector/carbon monoxide detector. Appliances. New Stove burners, microwave, washer, and dryer inspected. Knives: observed locked/stored in the kitchen cabinet. Toxins: observed in the locked laundry room cabinet. Medication cabinet is locked. First-Aid Kit & Activity Supplies: observed and available. Resident & Staff Files. LPA reviewed resident and staff files. Fire clearance was approved by Los Angeles County Fire Department Inspector R. Smith on 04/28/2021. Backyard. Backyard exit gate is operational and unlocked. ( Page 1 ) Backyard has shaded area for outdoor activities and sufficient seating for residents. Component III was completed with AD during today’s inspection. Facility is currently operating under the liability insurance of current facility FAMILY HOME CARE (306003795). AD will switch liability insurance to new facility once the application is approved. During the inspection, LPA explained the process of this application and about the post licensing inspection once the facility is licensed. AD was informed today that the facility is ready for licensure and final approval will be processed by the CAU supervisor in Sacramento. An exit interview was conducted with AD via tele-visit. This report will be emailed and an electronic email read receipt confirms receipt of the report. AD agrees to send a signed copy by email. ( Page 2 )