Pre-licensing visit·July 29, 2025

Licensing Program Analyst (LPA) Michael Tea made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA Tea met with designated Licensee (LE) Tin Le. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by our agency on December 27, 2024, for a total capacity of five non-ambulatory residents and one bedridden. The fire clearance was approved by a fire inspector from the Orange County Fire Authority on March 5, 2025. The facility is a one-story home with five bedrooms, two bathrooms, a living room, a kitchen, a dining area, and an attached two car garage. There is a one exit gate on the left side of the house that is self-latching and unlocked. There is a shaded seating area for clients in the backyard and LPA did not observe any obstacles or hazards. There are activities such as games and puzzles for residents to play and participate in. LPA also observed reading materials. LPA observed Administrator certificate, Facility sketch and Emergency Disaster Plan in the facility mounted on the wall in the living room area. The See Something, Say Something poster (PUB 475), Long Term Care Ombudsman poster, and Personal Rights were posted up on the wall in the living room. Resident bedrooms had the required furnishings. Bedrooms with sliding doors had working door alarms. LPA observed all beds had linens and blankets. Smoke detectors and carbon monoxide detectors tested operational. Hot water temperatures in the bathrooms measured around 112.8 to 113.7 Fahrenheit degrees. Toxins were secured and locked in a storage closet by the entry way. Medications will be stored in a locked cabinet in the living room alongside with facility record files. The first aid kit with all the required elements and first aid guidebook was observed in the living room. Records will also be stored alongside medication in the locked cabinet. A phone is in the kitchen for clients to use. Pre-licensing Report continuation on LIC809-C A supply of perishable and non-perishable food was observed. Electric stove burner, dishwasher, refrigerator, microwave, washer, and dryer are operational. Emergency food and water and additional supplies were observed to be well stocked in the kitchen pantry and garage. There is a laptop in the kitchen for the residents to use. The fire extinguisher is in the kitchen and is fully charged. The facility is ready to be licensed. LPA conducted the Component Three Orientation with Licensee Tin Le. Licensee was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted, and a copy of this report was provided to the Licensee and Administrator.