Facility Evaluation Report

On July 27, 2026, Licensing Program Analyst (LPA) Andrew Martinez conducted a unannounced Case Management - Deficiencies inspection visit regarding uncleared deficiencies issued during LPA's prior visit on 04/30/2026. LPA was greeted by, introduced self, and was granted access by House Manager/Caregiver Titus Irungu. At the time of visit there was the only one (1) staff present and three (3) of (3) residents in care.

During LPA's prior Case Management - Deficiencies visit on 04/30/2026, a review of the facility's Licensing Information System (LIS) file indicated the facility's annual fees totaling $1,484.00 were outstanding/unpaid. LPA Martinez issued a Type A deficiency with a Plan of Correction (POC) to submit renewal payment in full to Community Care Licensing Division (CCLD) and to submit proof of payment to LPA via email by close of business (COB) on POC due date, 05/01/2026. As for today's review of the facility's LIS file, licensing fees remained unpaid.

On arrival, LPA spoke with Licensee Sandy Zhao over the phone indicating the reason for today's visit. Licensee could not definitively recall if renewal fees had been paid or not and indicated to LPA, she needed time to look through her files. Approximately 35-45 minutes later, prior to LPA concluding facility visit, Licensee forwarded a copy of CCLD's payment page showing the total amount of fees of $1,484.00 paid as of 7/27/2026 at 2:32:27 PM for the facility Kun Bai Care #2 Home, facility number #331880822.

As proof of payment for all fees being paid in full has been supplied to LPA, no additional deficiency will be issued. LPA shall review the facility's LIS file and clear the deficiency upon verification that facility's LIS file has been updated to show fees are paid in full. An exit interview was conducted where this Facility Evaluation Report (LIC 809) was discussed with and a copy provided to House Manager/Caregiver Titus Irungu.