Pre-licensing visit·April 2, 2025

Licensing Program Analyst (LPA) Jessica Cho arrived announced for the purpose of conducting the Pre-Licensing visit for a Change of Ownership (CHOW). LPA conducted the visit with Applicant/Chief Executive Officer (CEO) William Manalo and Administrators (Admins) Jarren Manalo, BSN, RN and Rhadzivil Baylon. The initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by the Department of Social Services on November 20, 2024 for age range 60 and over. LPA toured the facility interior and exterior with Applicant William and Administrators Jarren and Radzivil. The following was observed: Structure: The facility is a single story property in a residential neighborhood comprised of six resident bedrooms with three resident full bathrooms and one staff bedroom. LPAs observed all common areas which includes the living room, dining area, kitchen, and an attached two car garage which doubles as a laundry area. There is a secured shed in the patio to store supplies. The backyard has sufficient shaded seating area and one exit gate. Telephone Number: Facility land line number (714) 844-2282 was tested and remains available. Signal System: No signal system, however residents utilize call buttons to alert the staff. Bedrooms: The resident bedrooms had all required components, are spacious, and easily accommodates the residents’ furnishings. Bathrooms: Bathrooms were clean and operational. Grab bars were secure and bath slip mats were in place. Linens and Hygiene Supplies: Clean linens and hygiene supplies were observed to be fully stocked in the walk-in linen closet. Appliances: Stove burners, microwaves, refrigerator, freezer, and washer/dryer were inspected and operating. Resident and Staff Files: Resident and staff records will be maintained on site per administrators. Reading Material, Games, Equipment, & Materials: The facility maintains games and activities in the living room area. Emergency Phone Numbers/Exit Plan: Posted on the bulletin boards. Postings: The See Something, Say Something (PUB475) and the Ombudsman Posters were posted in the entry way in the correct size as well as the Rights of the Resident Councils, Resident's Rights, Theft & Loss Policy, Activity Schedule, and the Food Menu. A copy of the Admission Agreement is available upon request. Food Service and Menu: Supply of seven day non-perishable and two day perishables were observed in the kitchen and garage cabinet. The sample menu was posted on the bulletin board. The emergency food/water supply were also available in the garage. Smoke and Carbon Monoxide Detectors: The smoke detectors and carbon monoxide alert systems and the auditory devices on all exit doors were tested and found to be operational. Fire Extinguishers: Two fire extinguishers were mounted, fully charged, and serviced on September 13, 2024. Fire Clearance: Approved on December 18, 2024 for 5 non-ambulatory and 1 bedridden residents. Please note that only bedridden resident is permitted in bedroom 6 and the bedridden room door shall self-close at all times per inspection report. Toxins and Sharps: Cleaning supplies, toxins, and sharps were observed to be secured and inaccessible. Water Temperature: The water temperature in the three resident bathrooms measured at 116.9, 115.7, and 117.6 degrees Fahrenheit. Medications, First Aid Kit, & Manual: The First Aid Kit was checked and found to be in order. Component III: Component III was waived because Applicant is operating other licensed facilities and has fulfilled this requirement. The Pre-Licensing is now complete, and the facility is ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Applicant/CEO William Manalo and Administrators Jarren Manalo, BSN, RN and Rhadzivil Baylon, and a copy of this report was provided at the end of the visit.