Pre-licensing visit·January 16, 2026

Licensing Program Analyst (LPA) Hanna Gough made an announced visit to the facility to conduct a pre-licensing visit. LPA was greeted and granted entry by applicant. LPA met with applicant Joy Cho. This application is to operate a Residential Care Facility for the Elderly (RCFE) for a capacity of two ambulatory residents and four non-ambulatory residents. The application was received on April 4, 2025 and there are no residents in care. The facility is a two story home with the second story not on the fire clearance and is not for facility use. The facility has four resident bedrooms, three bathrooms, kitchen, living room, laundry room and staff office. The resident bedrooms have the required components and furnishings. LPA observed the doors in the resident bedrooms leading to the backyard to have auditory devices that are operational. The resident bathrooms have toilet paper and nonslip mats in the shower. LPA observed grab bars in the resident bathrooms. LPA tested the water to be 126.1 degrees Fahrenheit in the resident bathrooms. Applicant turned down water heater and has been instructed to test the water and ensure that it is in between 105 and 120 degrees Fahrenheit. LPA observed the kitchen to be clean and free of vermin. LPA observed the knives to be in a locked drawer by the stove. LPA observed the stove to have three of the five burners operational. LPA informed applicant that all burners need to be repaired and in working order. LPA observed the toxins and chemicals to be in locked cabinets located in the laundry room and made inaccessible. LPA observed the staff office to have a lock making it inaccessible. LPA observed the stairs to the applicants living area to be accessed from the staff office. LPA observed a fire extinguisher in the dining room charged and with a service date of April 21, 2025. LPA observed the fire alarms and carbon monoxide detectors to be operational. LPA did not observe a clean supply of extra linens in the facility and applicant informed LPA that they will bring the supply down from upstairs for facility access. Continue on 809-C LPA observed the backyard to have a swimming pool enclosed on two sides by a brick wall and the other sides enclosed by a 5ft wrought iron fence with locks located at the top of the entry gates. LPA observed shaded seating areas in the backyard. LPA observed the exit gates unlocked and able to open. LPA informed applicant that the corrections and repairs need to be made before approval from the Centralized Application Bureau can be made. Applicant will notify LPA when the corrections and repairs are completed and schedule another pre-licensing visit with LPA. An exit interview was conducted and a copy of this report was left at the facility.