Pre-licensing visit·March 13, 2026

Licensing Program Analyst (LPA) Hanna Gough conducted an announced visit to the facility for the purpose of a pre-licensing inspection. LPA arrived at the facility and was greeted and granted entry. LPA met with Administrator (AD) Christina Nguyen. An initial application to operate an Residential Care Facility for the Elderly (RCFE) for five non ambulatory and one bedridden resident was submitted to CCL on July 10, 2025. The facility is a one story home with an attached two car garage, three resident bedrooms, two resident bathrooms, kitchen, living room, a staff office, a staff bedroom, staff bathroom, staff living room and backyard. The resident bedrooms have all the required components and furnishings. LPA observed the bathrooms to be stocked with toilet paper and non slip mats with working sinks, showers and toilets. The water was tested to be at 107.6 degrees Fahrenheit. The extra linen supply was observed in the hall cabinet for resident use. LPA observed the kitchen to be clean and free of vermin. All appliances were found to be operational including all stove burners, microwave, fridge, freezer and dishwasher. LPA observed a seven day food supply on hand and an emergency food supply in the kitchen. LPA observed the knives to be in a locked box in a kitchen drawer and made inaccessible. LPA observed the medications will be stored in locked boxes in the staff office that also has a lock on the door making it inaccessible. The first aid kit was observed in the staff office and has all the required components. LPA observed fire extinguishers throughout the facility charged. LPA observed the garage to be locked and used as facility storage. LPA observed the toxins and chemicals to be stored in the garage and made inaccessible. The staff living room, bedroom and bathroom can be locked making them inaccessible. LPA observed the backyard to be free of debris and obstructions with a shaded seating area. AD tested the carbon monoxide and smoke detectors and they were found to be operational. The fire clearance was approved on September 16, 2025. LPA conducted the Component Three Orientation with AD. AD 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 at the time of inspection.