Pre-licensing visit·December 17, 2025

Licensing Program Analysts (LPAs) Michael Hood and Marisa Chiarelli met with Applicant, Benjamin Suiugan, to conduct a Pre- Licensing visit. This application is a change in ownership. This address is currently licensed as Olive Oaks Care Facility #: 345920408 . The facility has a fire clearance for six (6) non-ambulatory residents. Administrator, Benjamin Suiugan, has an active certificate (#6079798740, Exp:09/12/2027). LPAs conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and three (3) bathrooms for resident use. LPAs observed facility to be properly furnished, including appropriate bedding and lighting in bedrooms. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 109 degrees F. LPAs checked the kitchen area for the ability to prepare and store food. LPAs observed at least a 2-day perishable and 7-day nonperishable food supply at the facility. LPAs observed cleaning products and other toxins to be locked away. LPAs observed the area used for medication to be locked and inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detectors at the care home to be operational. LPAs reviewed two (2) residents medications, four (4) resident files, and one (1) staff files. Component III was completed. Application is pending and LPA Michael Hood will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.