Facility Evaluation Report

Licensing Program Analysts (LPA) Jerome Haley conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA Haley met with Applicants Arvin Bumanglang, Linh Nguyen and toured the facility.

An initial application to operate a Residential Care Facility Elderly (RCFE) was submitted to CCL on February 9, 2024. The facility has a capacity of 6, of which 2 can be non-ambulatory, and one may be bedridden. The facility phone number 714.723.0008.

Fire clearance: Orange County Fire Authority granted the fire clearance March 26, 2024.

Structure : The facility is one level structure with 4 bedrooms and 2 bathrooms.

Kitchen: Clean and organized. Sharps locked in a cabinet near the sink. Cleaning chemicals are kept locked under the sink. Staff and resident files are kept in a locked cabinet with a first aid kit with all the required elements.

Food Service/Menu: A sample menu as posted on the refrigerator. A supply of perishable items, a supply of nonperishable items, and fruits were observed.

Gas stove with 5 burners was clean and lighted unassisted. All other appliances were clean and in good working condition.

All cleaning supplies and chemicals are kept in the kitchen in a locked cabinet below the sink, and an additional supply of cleaning chemicals will be kept locked in a cabinet in the garage.