Office review·June 4, 2025

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Ruzedana Rahman, Administrator Mohammad Rahman, Applicant Interview Method: COMPONENT II Waived On December 24, 2024, applicant(s)/administrator participated in COMP II for the below pending facilities: Temple Heights—33188557 requesting to waive Temple Park Living—331881556 requesting to waive Temple Court—331881561 COMP II on 12/24/2024 and licensed on 5/23/2025. Temple Gardens –331881558 COMP II on 12/24/2024 and licensed 5/23/2025 Identification of the applicant(s) and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program. 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readiness