Pre-licensing visit·February 2, 2026

Licensing Program Analyst (LPA) Carmen Lopez conducted an announced Pre-Licensing with the Component III inspection, and to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted at the front entrance by the applicant’s Megan Nguyen and Asim Guharoy. LPA was granted entry after identifying herself and disclosed the purpose of her visit. The facility is a new Residential Care for the Elderly (RCFE) undergoing their initial licensure. The fire clearance was approved on 09/04/2025 and reflected that the facility was approved for six (6) residents; 4 of whom may be non-ambulatory and one bedridden in at any given time at the facility site. Their fire clearance was granted with no violations. Their facility sketch was consistent with the current layout of the facility. During today’s visit, LPA accompanied by applicant Nguyen, conducted an overall inspection of the internal and external areas of the facility. There are one and a half (1.5) number of bathrooms for residents to use. The facility has all the required furnishings, linens and personal hygiene items. Bathrooms were equipped with non-skid mats. Facility had personal hygiene items stored. The facility was clean, sanitary, and in good repair. Bedrooms allowed for easy passage and no obstruction. Toilets, sinks, and showers were all in working order. Each window screen which was in good condition. The facility’s ambient internal temperature was comfortable and compliant at 71 degrees Fahrenheit. Hot water temperature at taps accessible to residents were also compliant. (Continuation on LIC809-C) (Continuation of LIC809) All outdoor and indoor pathways were free from obstruction and slip hazards. Fire extinguishers (01) affixed with current tags and applicant was aware that fire extinguishers are to be updated within the last 12 months for future inspections. Smoke and carbon monoxide detectors, and emergency lighting, were present and all operational. The facility phone will be installed through a third party vendor and LPA will be notified once the phone line is up and operational. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and residents activities. The facility has no pools or bodies of water that were observed on the facility premises. Per applicant Megan Nguyen, no firearms or ammunition are or will be stored on the facility premise. All toxic substances, poisons, and chemicals were safely stored in an inaccessible cabinet. There were no fireplaces, or open-faced heaters present on the facility premise. The facility has a locked area for storage of sharps and sharp objects inaccessible to residents. The facility kitchen was stocked with appropriate cooking items and utensils. Non-perishable and perishable food items will be stocked in the refrigerator and kitchen cabinets once residents have been admitted. The facility is aware that a seven (7) day non-perishable and two (2) day of perishable food supply shall be maintained at all times. Medications will be secured in a locked cabinet which is inaccessible for residents. A first aid kit was available. The first aid manual was ordered during the inspection and will be delivered by 02/05/25. Residents and staff files will be kept in a lock area of the facility. Licensing postings were observed in visible areas of the facility and were posted. LPA discussed continuing operation requirements, record keeping, reporting requirements and physical plant compliance with the applicant along with the Component III training. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The Pre-Licensing and Component III was completed during today’s visit. The applicant was advised that the facility is ready for licensure pending management final review and approval. An exit interview was conducted with applicant Megan Nguyen, to whom a copy of this report along with the licensee Appeal Rights (LIC 9058 01/16) were provided at the conclusion of the visit. The signature below confirms receipt of these documents.