Pre-licensing visit·December 27, 2023

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection visit to follow up on corrections identified during visit on 12/15/2023. LPA arrived at the facility and was greeted and granted entry by Licensee Yung Lee and designated Administrator (AD) Young Park. An application to operate a Residential Care Facility for Elderly (RCFE) for (6) capacity, (0) ambulatory, (6) non-ambulatory, and (0) bedridden residents was received by CCL on 09/01/2023. The facility is a two-story house with three resident bedrooms, three bathrooms, living room, kitchen, dining area, office, laundry room, family room, and attached two car garage downstairs; upstairs is a staff bedroom with a bathroom. Facility also has an additional dwelling unit (ADU) in the backyard, ADU is a studio with one bathroom. At 9:00 a.m. LPA toured the facility and observed the following: · There is now lighting in three out of three resident bedrooms, and in the activity room. · Water temperatures tested at 111.2 degrees F. · Facility is two-stories, and second story consists of master bedroom for staff, facility has a signal system that is audible and identifies resident’s bedroom. · Downstairs master bedroom 3 has a chest of drawers, and chairs for residents. · All resident beds have the required elements including blankets and bedspreads. · Visiting policy is posted at the entrance of the facility. · Drawers and lock on file cabinet for medication are operable. · Five out of five gas stove burners are operable and refrigerator in garage has been removed from the facility. All noted items from visit on 12/15/2023 have been addressed. The facility is ready to be licensed. An exit interview was conducted and a copy of this report was left at the facility.