Senior Care Records.

Facility Evaluation Report

Successful People LLC #5, Anaheim06/10/2026Licence 306006074

Capacity4
Census4
Date signed06/10/2026 11:31:28 AM
Name of licensing program analystJessica Cho
Name of licensing program managerLourdes Montoya
The inspector’s account

Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit for the purpose of interviewing Client #1 (C1) in connection to a complaint investigation at another licensed facility for complaint control #: 22-AS-20260603141501. LPA was greeted and granted entry by Care Provider Hasayn Bailey and explained the reason for the visit. Per Care Provider, C1 was at their personal appointment with staff. LPA conducted the interview via FaceTime. LPA obtained records for C1 which includes the Client Roster and Face Sheet.

An exit interview was conducted with Care Provider Hasayn Bailey, and a copy of this report was provided via email at exit.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction