Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPA met with Licensee Yung Lee and designated Administrator (AD) Young Park. An application to operate a Residential Care Facility for Elderly (RCFE) for (6) capacity, (0) ambulatory, (6) non-ambulatory, and (0) bedridden residents was received by CCL on 9/01/2023.

The facility is a two-story house with three resident bedrooms, three bathrooms, living room, kitchen, dining area, office, laundry room, family room, and attached two car garage downstairs; upstairs is a staff bedroom with a bathroom. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the dining area. There is a backyard with an exit gate on one side of the house. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard.

Two out of three resident bedrooms had the required furnishings. One out of three resident bedrooms did not have a chest of drawers. LPA observed all beds had linens, however, three beds do not have blankets or bedspreads. LPA observed all windows were screened.

All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and will be stored in the laundry room. Licensee will obtain a lock and key.