Facility Evaluation Report

On this day, January 22, 2026, while at the facility investigating complaints (Control #'s 15-AS-20250825103605 and 15-AS-20250924164748), Licensing Program Analyst (LPA) Delmundo met with staff (S1). S1 stated she started working yesterday and on this day. LPA checked Guardian Portal no fingerprint clearance and not associated to this facility. LPA also observed Advil in the family room and tree trimmer in the backyard. LPA also observed Thinn Aye (ADM) had an argument with resident R1 when R1 told LPA that ADM said an inappropriate words to R1. LPA has to break the argument and talked to ADM in the family room.

Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $250.00 civil penalty is assessed for deficiency section # 87455(e)(2) . Failure to submit proof of corrections by plan of correction due dates and any repeat violation may result in additional civil penalty.

Deficiencies, plan and proof of corrections and civil penalty were discussed with ADM. ADM has to leave and authorized Mya 'Clara' Thazin to sign and receive this report.

Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty, LIC9098 Proof of Correction and copy of this report provided.