Office review·March 2, 2026

Office meeting conducted on 03/02/2026 via Teams meeting with the following individuals at this time: Stephenie Doub, Regional Manager Liza King, Licensing Program Manager Lisa Rios, Licensing Program Manager Charlie Yang, Licensing Program Analyst Christine Soriano, LLC Board Member Shelly Cha, LLC Board Member The purpose of this meeting was to discuss the current issues surrounding this facility at this time. It was recently learned by this licensing office that the Chief Executive Officer, CEO, Christine Soriano was removed from the board and no longer a part of operations at this time. This meeting was held to determine the course of action that the Licensee was taking in order to maintain operational stability within the governing board for this facility so as to remain in compliance at all times. The following items will need to be updated and submitted into CCL for further review: Updated LIC 500 for staff coverage and indicated days/hours for the facility designated Administrator to be present in the facility LIC 501 for the facility designated Administrator Copies of the facility utility bills for electric, water, sanitation since 01/01/2026 Letter from the Board appointing the facility designated Administrator Copy of current facility designated Administrator certificate Forms and documents for the facility designated Administrator to show that he/she does meet all educational and experience requirements Documentation that the facility designated Administrator is fingerprint cleared and properly associated to this facility Updated LIC 200 signed by the Licensee or board resolved representative Staffing projections for the next (2) weeks specifically for caregivers and medication technicians for all (3) shifts of AM, PM, and NOC Proof of current liability insurance and workman's compensation Updated LIC 610 Board resolution denoting any changes to the representative at this time All requested forms and documents are to be updated, completed, and submitted into CCL by COB of 03/04/2026 for further review by this LPA. There were no deficiencies observed or cited during today's office meeting. A copy of this report will be emailed to the address for the Licensee at shellycha81@gmail.com and a request was made by this LPA for the appointed representative to go ahead and sign the documents and scan a copy back to this LPA. Exit Interview