Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit for the purpose of conducting a Plan of Correction inspection for deficiencies issued on October 22, 2025, and October 29, 2025, during the annual inspection and during a case management deficiencies visit. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Diane Nguyen and discussed the purpose of the visit.

LPA observed the inside of the accessory dwelling unit (ADU) and observed the mattress to be stored in the garage separate from the bed frame and the appliances that are being stored in the ADU are unplugged. LPA observed the ADU being used as a storage space. The plan of correction for the Type A deficiencies CCR 87755(a) and 87204(a) have been cleared.

LPA observed a LIC308 Designation of Facility Responsibility filled out with the delegating authority on behalf of the facility licensee. The plan of correction for the Type A deficiency CCR 87405(a) has been cleared.

Based on today’s observations no deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.