Routine inspection·October 3, 2025

Licensing Program Analyst (LPA) Dang Nguyen made an unannounced visit to conduct a Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Honeylet Castro Verde. LPA then met with Licensee Principal Zayden Chen and Chief Operations Officer (COO) Lynn Drummond, who arrived shortly after. According to the facility’s license, the facility has a maximum capacity for six (6) residents, of whom all may be ambulatory or non-ambulatory, and three (3) may be bedridden. Per LPA observation, LIC602 Physician’s Reports, and staff interviews: During today’s inspection, there were a total of seven (7) residents in care, of whom four (4) were non-ambulatory and three (3) were bedridden. [The issue of the facility currently being over-capacity was already addressed; Licensee was cited/fined for it on 08/26/2025. Licensee’s application requesting an increase in capacity is pending / under review with CCLD.] The facility’s license does not include endorsements for delayed-egress doors or secured perimeters, and none of these were present. LPA, accompanied by Licensee’s staff, toured the interior and exterior of the facility and inspected all common areas and resident bedrooms. LPA interviewed multiple residents and multiple staff. LPA reviewed care records for all current residents, and personnel records for all active staff. [CONTINUED ON LIC 809-C, 1 of 2] [CONTINUED FROM LIC 809] The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was complaint at 73 F. Where tested, hot water temperature at taps accessible to residents were all compliant: Bathroom #1 Sink was 115.5 F, Bathroom #2 Sink was 115.7 F, Bathroom #3 Sink was 113.2 F, Bathroom #4 Sink was 118 F, Bathroom #5 Sink was 118 F, and Bathroom #6 Sink was 117.9 F. Appliances to preserve perishable food were also compliant in temperature. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. Carbon monoxide detector, smoke detectors, emergency lighting, and facility telephone were all working. The facility’s fire extinguisher had been serviced within the last twelve (12) months. No fireplace or pools/bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. There were reserve supplies of Personal Protective Equipment (PPE), and staff had been trained on PPE within the last (12) months, as required. Licensee presented proof of current business liability insurance. Licensee is Limited Liability Company (LLC) registered in California. As of today’s visit, the LLC had a “Forfeited” status with the State Franchise Tax Board (FTB). Regulation required Licensee to ensure that its governing body was active and functioning, to assure accountability. [ During today's visit, Licensee E-mailed their accountant and instructed them to pay all taxes and/or fees owed to the FTB, which is necessary to bring the LLC back into good standing. Licensee agreed to continue to oversee the matter to completion .] [CONTINUED ON LIC 809-C, 2 of 2] [CONTINUED FROM LIC 809-C, 1 of 2] During a review of care records, LPA observed, and manager interview confirmed: Resident #1 (R1) through Resident #5 (R5) were each diagnosed with Dementia, per their respective physician’s reports, which also said these residents would not be safe to leave the facility without escort. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] However, Licensee did not ensure that the facility’s exterior exit doors had working staff alert devices installed on them, as required when caring for such residents. Also, Licensee did not have documentation that 4 of 7 residents [R1, R2, R4, and Resident #6 (R6)] received an annual routine visit with their respective licensed medical professional, also known as an annual “physical” or “check-up” (or documentation of the resident and/or responsible person’s refusal), as required. During a review of personnel records, LPA observed, and manager interview confirmed: 3 of 10 staff [Staff #1 (S1) through Staff #3 (S3)] did not complete the minimum twenty (20) hours of continuing training within the last rolling year, as required. [Regulation requires 20 hours per direct care staff, of which 8 must be on Dementia care and 4 must be related to postural supports, restricted health conditions, and hospice care.] Also, Licensee did not ensure that 2 of 10 staff [Staff #4 (S4) and Staff #5 (S5)] had current training in First Aid from a qualified source, as required. Five (5) deficiencies were cited per California Code of Regulations, Title 22 (refer to the LIC809-D pages). Plans of Correction were jointly developed with the Licensee. LPA also issued one (1) Technical Violation (TV) regarding Disaster Drills (refer to the LIC9102-TV page). An exit interview was conducted with Licensee Principal, Zayden Chen, to whom a copy of this report, the LIC 809-D pages, the LIC9102-TV page, and the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.