Pre-licensing visit·May 11, 2022

Licensing Program Analyst (LPA) Shobhana Frank conducted this announced continued Prelicensing visit today to ensure the facility had made all necessary corrections required from the Prelicensing visit on 3/ 24,2022. LPA Frank met with Administrator (AD) Brenda Truong and Lily Nguyen discussed the purpose of the inspection, and toured the facility. During the inspection on 3//24/22 LPA Sean Haddad and AD Brenda Truong noted that the application’s approved fire clearance was for 6 ambulatory residents, but the current facility has 2 non-ambulatory residents. AD agreed to work with the Central Applications Bureau and the local Fire Department to secure AD’s desired fire clearance and notify LPA once the facility is ready for inspection. During the Inspection LPA verified the Fire clearance was granted - room #1 for ambulatory and Room 2,4,5 for Non ambulatory on 4/21/2022. The item identified for correction during initial Prelicensing visit of March 24, 2022 is now corrected. With the above corrections completed the facility physical plant meets requirements of Title 22 Regulations. During the inspection LPA Frank conduct component III with the licensure. All items reviewed during the visit are in compliance. Facility appears to be ready for licensure. An exit interview was conducted with Administrator and a copy of this report was provided.