Pre-licensing visit·November 18, 2025

11/18/2025 10:00 AM Licensing Program Analysts (LPAs) Rebecca Knight and Marisa Chiarelli arrived at the facility to conduct a Pre-Licensing visit for a change of ownership (CHOW) with residents in care. LPAs met with licensee / administrator Mai Thi Nyguen and explained the purpose of the visit. LPAs completed Comp 3 presentation during the visit. The fire marshal has approved the fire safety inspection request. The facility is licensed for a total capacity of 6 non-ambulatory residents. The inside of the facility was observed to be in good condition and repair. The facility has five (5) bedrooms, three (3) bathrooms, kitchen, dining area, living room,office, covered porch, and front and back yards. LPAs observed 1 dining table with ample seating for residents in the dining room. LPAs observed a couch, chairs and recliner in the living room. The hot water registered at 111 F degrees which met the Title 22 requirement within a range of 105 - 120 degrees F. The kitchen was observed to be clean and in good repair. Food storage meets Title 22 regulation requirements. Plates, utensils, pots, and pans were in place during the inspection. Dishwasher, stove, microwave and refrigerator were all present and working. Continued on LIC809-C The facility has three fully charged fire extinguishers. LPAs observed smoke alarms and carbon monoxide detectors fully functioning. Bedrooms were observed to have furniture as required by Title 22 Regulations. All beds were made up with linens and bedspreads. Each bedroom has ample storage. The facility has multiple linen closets which contain sheets, pillowcases, towels and face cloths. Bathrooms were observed to be in good repair. Storage and lighting are adequate in the home. Medications are stored in a locking cabinet. Medications were reviewed. Cleaning supplies and toxins are locked up in a cabinet. Knives are secured. Washer and dryer observed in place and functioning. There is a locking office space where client and staff files are stored. There is a covered / screened in porch with a table and seating for the residents to use. The applicant has passed the pre-licensing portion of the application process. LPA will contact the Central Application Bureau. No deficiencies according to CCR Title 22, Division 6. Exit Interview and copy of report was provided to the licensee.