Office review·October 22, 2021

An Office Meeting was held today in the Sacramento South Adult and Senior Care Regional Office via Microsoft Teams. This meeting was held due to the passing of the Co-Licensee. Those present in the meeting are Regional Manager Krystall Moore, Licensing Program Manager Stephen Richardson, Licensing Program Manager Czarrina Camilon-Lee, Licensing Program Analyst(s) Victoria Brown, and Tung Truong, Co-Licensee Frances Kang, along with facility representatives Maria Kang, and Christine Aducayen-Kang. Currently, Frances Kang is the sole member of the LLC and continues to have Control of Property and of the business. Frances Kang stated there are no changes to the operations of the facility or the finances. To remain in substantial compliance Frances Kang agreed to submit the following: -Updated Secretary of State documents, the intent of Frances Kang is to change the entity (LLC) members. -Change of Ownership Application Part A & B-to be submitted by 11/30/21 *The LIC281 can be downloaded from on-line for application instructions -A copy of the death certificate as soon as it is obtained -A letter to each resident and/or responsible party regarding the intent Frances was advised that should anything discussed to change CCL will be contacted immediately to ensure the health and safety of the residents continue. Frances was advised that health and safety visits will be conducted until the CHOW application is submitted. Also, if there are any concerns or questions to contact LPA(s) Victoria Brown and/or Tung Troung. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. An exit interview was conducted with Frances Kang via telephone and a copy of this report was provided via email and an electronic email read receipt confirms receiving these documents.