Pre-licensing visit·June 3, 2025

Licensing Program Analyst (LPA) Michael Tea made an announced inspection visit to follow up on corrections identified during a Pre-Licensing visit on 05/19/2025. LPA Tea was greeted and granted entry by Licensee/Administrator Jenny Phung. An initial application to operate a Residential Facility Care for the Elderly was submitted to CCLD on 01/06/2025 for a total capacity of six non-ambulatory residents, hospice waiver for six. Fire clearance was approved by a fire inspector from the Orange County Fire Authority on February 11, 2025. LPA toured the facility and observed the following: The walls of the facility were clean and repainted Bathroom and sinks were clean Every bathroom had grab bars in each shower/bathtub Air vents were clean and clear of cobwebs, dirt and grime Cracks in ceiling walls were repaired Crack on Bedroom #2 door is repaired and fixed There are two chairs in each shared room in the facility for a total of 6 chairs There is a lamp in Bedroom #3 There is a door for Bedroom #3 for privacy There is shaded patio furniture with two umbrellas for residents to sit outside Pre-Licensing Inspection continued on LIC809-C Administrator certificate was posted in the front entryway There is a 20X26 Pub 475 Poster posted in the front entryway There is a 20X26 Ombudsman poster posted in the front entryway Notices and personal rights are posted in the front entryway There is a thermometer in the first aid kit There is a first aid booklet There are door alarms placed on the doors throughout the facility There is emergency food and water There are emergency disaster supplies There is a locked cabinet for knives/sharps in the kitchen There is a locked cabinet for chemicals/toxins in the kitchen or laundry area There are admission agreements that the administrator showed to LPA Noted items from the prior visit on 05/19/2025 have been addressed. The facility is ready to be licensed. LPA conducted the Component Three Orientation with Licensee/Administrator Jenny Phung. 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 Licensee.