Facility Evaluation Report

Licensing Program Analysts (LPAs) Dang Nguyen and Alyssa Ramirez conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the Applicant’s Representative, Jean Paul Reyes. Applicant Hong Hanh Le Dao also joined today's visit via video teleconference.

The facility fire clearance was granted on 02/28/2023 and reflects that the facility was approved for six (6) residents in total, of which two (2) may be non-ambulatory in Bedroom #4 (per the facility sketch), and none may be bedridden.

During today’s visit, LPAs, accompanied by the applicant’s representative, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order.

The facility’s ambient internal temperature was 69 degrees F. Water temperatures at taps accessible to residents were compliant: Bathroom #1 sink was 118.2 F, Bathroom #2 sink was 118.8 F, and Kitchen sink was 117.2 F.