Routine inspection·October 9, 2025

Licensing Program Analysts (LPA) Marcella Tarin and Manuel Monter conducted an unannounced annual inspection and to follow up on a resident elopement that occurred in March 2025. LPAs met with Licensee Biao Zhang. LPAs stated the purpose of the visit. LPAs toured the interior and exterior of the facility with Licensee to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. During tour of the interior and exterior of the facility, LPAs observed spiderwebs around residents windows, dirt on residents interior windows,a ripped and torn couch in living room, brown stains on walls through the facility. LPAs also observed two office rooms being used as a resident and staff room. LPAs observed a bed and personal belongs in each 'office' room. LPAs observed medication bottles in 'family room', accessible to residents. During inspection of the backyard facility, LPAs observed a gate that had a lock. Licensee states some residents are not allowed to exit the facility. During visit, Licensee removed the lock from the gate. LPAs observed all other exits and passageways to be free and clear of obstruction. LPAs toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA measured refrigerator temperature at 35 degrees F and Freezer at 0 degrees F. Page 1 of 2 LPAs observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by Licensee. Fire extinguishers were last serviced on 2/11/2025. The facility emergency drill log was reviewed. The facility's last drill was on 9/18/2025. LPAs toured 6 resident bedrooms. All 6 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. During inspection of R2's, LPAs observed pills in a cup on R2's dresser. Based on review of R2's physician's report, R2 cannot store or administer his/her own medications. LPAs toured 2 bathrooms. All 2 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPAs measured water temperature with a range of 109 F to 111.5 F. LPAs reviewed 3 resident records. All 3 resident records did not have an updated physician's report, updated service plan, and did not contain personal property log. LPAs reviewed 3 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPAs reviewed 2 staff records. 1 Out of 2 staff records did not have training for 2025. Licensee provided LPAs with a training document for S2 with dated 2025. Upon further review, LPAs observed a handwritten 2025 over the 2024 dates. Licensee stated S2 did not have training for 2025 and apologized for writing 2025 over the 2024 training dates. Elopement incident On April 1, 2025, the Department received an incident Report regarding resident R1. The incident Report stated, on March 29, 2025, resident R1 was missing. R1 was last seen on 3/28/2025, at 11:45pm, by another resident. The incident report states, the facility contacted Campbell police. The incident report states "Based on the surveillance camera record, there was a movement when the sensor light went on at 4:52AM on 3/29/2025" Page 2 of 3 **This is an amended report to issue the correct citation and civil penalty for an elopement** On April 1, 2025, LPA Tarin interviewed Licensee Zhang. Licensee stated, R1 was found on 3/31/2025 and they do not know where R1 was found. Licensee states he heard from R1's responsible party that R1 was found on Stevens Creek Blvd near a gas station, but does not know the condition of R1. Licensee states R1 was last seen on facility surveillance on 3/29/2025 at 7:21AM. On March 29, 2025, Local Law enforcement, at approximately 8:07am, responded to a missing person report, regarding R1. It was reported that R1 was last seen in his/her room at 8:30pm the previous night. When checked approximately 30 minutes later, R1 was no longer there. On March 29, 2025, at approximately 7:30am, it reported that R1 was missing from his/her room. On April 1, 2025, at approximately 4:32pm, local law enforcement was informed R1 was found at Stevens Creek Blvd and Cypress Ave. The Department reviewed R1’s physician’s report dated September 8, 2023, which states R1 is not able to leave the facility unassisted. Based on a Google Maps Review, the location R1 was found was 2.9 miles from the facility, without staff supervision. As a result, an immediate civil penalty of $500.00 is being assessed Section 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities, against the facility today for violation for absence of supervision, which resulted in R1 eloping from the facility. The deficiency and civil penalty are assessed on a case management visit on 12/26/2025. See LIC809 for 12/26/2025. Licensee stated he would not sign the report because it was related to the elopement and civil penalty assessed. Licensee stated he was refusing to sign the report unless LPAs removed the civil penalty. LPA Tarin stated to Licensee the civil penalty would not be removed. Deficiencies are being cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Licensee Biao Zhang and a signed copy of this report was provided.