CK Community Care

Allegation investigated: Staff did not maintain a comfortable temperature for residents in care.

Licensing Program Analyst (LPA) Jenifer Tirre, met with Administrator Evan Tran for the purpose of delivering findings for the above allegations. The investigation consisted of observations and interviews. On September 10, 2024, the department received allegations that Staff did not maintain a comfortable temperature for residents in care. The investigation was completed by the department and revealed the following: Facility is a four bedroom two bathroom home with common area kitchen and living room. During investigation, the following were observed, all resident rooms, kitchen dining area and living room have fans as well as Air purifiers. Facility has windows in every room which were open and a steady flow of air which provided a light breeze throughout areas. Facility thermostat was 77 degrees Fahrenheit. Interviews conducted with three of three staff stated that temperature of facility is comfortable but that during recent heatwave, stated at times would get warm but that facility provides fans for residents and mentioned that facility has air purifiers throughout facility. Interview with Staff 1 stated that facility has heater but wasn’t built with Air conditioning. CONTINUED ON 9099C Unsubstantiated S1 stated that they are in process of getting an approved HVAC (Heating, Ventilation,& Air Conditioning) Company to put in unit at facility due to recent weather temperatures. Two staff stated that facility provides cold fluids to also help combat heat. Interviews conducted with Four of Six residents stated that Facility temperatures are okay, that they are comfortable and residents stated they had fans to help with heat. Residents interviewed stated they had no concerns regarding temperature inside facility. Based on observations and interviews the allegation Staff did not maintain a comfortable temperature for residents in care, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Evan Tran and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 14, 2026 · control 22-AS-20260910142716

Type of visit: Required - 1 Year

On June 23, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Evan Tran was notified via telephone and later arrived to assist with the inspection. LPA observed that Evan Tran has a valid Administrator certificate which expires on January 2, 2028. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one can be bedridden in room four, and has a hospice waiver for six. The facility is a single story home which consist of four resident bedrooms, two of which is shared, two bathrooms, a living room, a dining room, a kitchen, a sun room, a laundry room, and an attached two car garage. LPA, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, LPA observed five residents in care and two care giving staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and observed them to be clear of any hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway cabinets. LPA inspected the resident bathroom and observed it to be clean. Resident bathroom was equipped with grab bars and a non-skid floor mat. The faucet and toilet was operational. Hot water temperature measured at 117.6 degrees Fahrenheit. LPA observed the facility has a two day perishable and a seven day non-perishable food supply in the kitchen. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. CONTINUED ON LIC809-C LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed two fire extinguishers to be mounted in the facility which were observed to be charged and serviced as of December 3, 2025. LPA tested the wired smoke detectors and individual carbon monoxide detectors which tested operational. LPA observed the facility conducted their most recent emergency disaster drill on March 19, 2026. LPA observed the centrally stored medication to be kept in a locked closet. LPA observed there is also a first aid kit stored in the closet which has all the required components. LPA also observed the facility has a three day emergency food and water supply to be stored in the closet. LPA observed chemicals and toxins to be stored in locked cabinets located in the laundry room. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA, accompanied by the AD, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be clear of any obstructions or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates of the facility to be self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all five resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed the residents' medication and medication administration records. LPA reviewed three staff files. LPA observed that three staff did not complete the required forty hours of initial training. LPA observed that the facility did not have any documented training on file for Staff #1 (S1). LPA also observed that Staff #2 (S2) and Staff #3 (S3) only had seventeen documented hours of training on file. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, a deficiency is being cited on the attached LIC809-D page. An exit interview was conducted with Administrator Evan Tran and he was also advised regarding the facility's annual fee balance. A copy of the report and appeal rights were provided at time of visit.the state’s words, verbatim · CDSS document, Jun 23, 2026

Type of visit: Prelicensing

On June 6, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a pre-licensing inspection to follow up on corrections identified during the initial pre-licensing inspection, see LIC809 dated May 12, 2025 for more details. LPA was greeted and granted entry into the facility by Administrator (AD) Evan Tran. LPA, accompanied by the AD, conducted a tour of the facility and observed the following: Chairs were present in all four resident bedrooms. Chest of drawers were present for bedroom three. There is a See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. Light bulbs were operational in bathroom two. Construction materials were removed from the passageway on the southside of the facility. The four burner gas stove lights unassisted. An internet device for resident use was present and stored in the living room. All the corrections noted during the initial pre-licensing inspection conducted on May 12, 2025 have been corrected. Component III was completed with the AD, which provided information about how to operate the facility within compliance and reporting requirements. The AD was notified that the final application approval will be issued by the Centralized Applications Bureau (CAB) in Sacramento. An exit interview was conducted with Administrator Evan Tran and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 6, 2025

Type of visit: Prelicensing

On May 12, 2025 at 8:45 AM, Licensing Program Analyst (LPA) Brandon Lopez made an announced visit to the facility to conduct the pre licensing inspection. LPA was greeted and granted entry into the facility by Administrator (AD) Even Tran. LPA observed that Evan Tran has a valid Administrator certificate which expires January 2, 2026. An initial application to operate a Residential Care Facility for the Elderly (RCFE) for a capacity of six (6) non-ambulatory residents, one of which can be bedridden in bedroom four, and has a hospice waiver for six, was received by Community Care Licensing (CCL) on November 18, 2024. This is an initial application with no residents in care. The facility received an approved Fire Clearance by the Huntington Beach Fire Department Inspector Christopher Bird on March 7, 2025. The facility is a single story home with four resident bedrooms, two of which are shared, two shared resident bathrooms, a living room, a dining room, a kitchen, a sun room, a laundry room, and an attached two car garage. On today's visit, LPA accompanied by the AD conducted a tour of the interior portions of the facility. LPA inspected the four resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have beds and lamps. LPA observed chairs missing in all four resident bedrooms. LPA observed the chest of drawers to be missing in bedroom three. LPA observed resident beds to have clean mattresses, linens, and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the two shared resident bathrooms and observed them to be free of hazards. Resident bathrooms were equipped with grab bars and nonskid floor mats. Faucets and toilets were operational. Hot water temperature measured between 116 to 116.9 degrees Fahrenheit. LPA observed a light bulb missing in bathroom two. CONTINUED ON 809-C LPA observed kitchen appliances such as the refrigerator, the dishwasher, and the microwave to be clean and operational. LPA observed that one out of the four burners on the gas stove was not operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed a fire extinguisher in the kitchen and in the two car garage. Fire extinguishers charged and serviced as December 6, 2024. LPA tested the wired smoke detectors which tested operational. LPA tested the individual carbon monoxide detectors which tested operational. LPA observed the fire place in the living room to not be in operation at time of visit. LPA observed activity materials such as books, games, and coloring books, and a piano to be stored in the living room. LPA observed that staff files and resident files will be kept in a storage cabinet in the living room. LPA observed the facility did not have a dedicated internet device for resident use. Per the AD, the centrally stored medication will be kept in a locked closet by the dining room. LPA observed the facility has a three day emergency food and water supply stored in the closet. LPA observed chemicals and toxins to be stored in a locked cabinet in the laundry room. LPA observed the door leading to the attached two car garage to be kept locked. LPA observed the two car garage to be used for storage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. LPA observed construction materials to be in the passageway on the southside of the facility. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter of the facility are self-latching can be opened in an evacuation. There are no bodies of water on the premises. LPA advised AD of the following corrections that need to be made: Purchasing chairs for all four resident bedrooms Purchasing a chest of drawers for bedroom three Purchasing and hanging the See Something, Say Something poster (PUB 475) by the entryway Installing a new light bulb for bathroom two Removing the construction materials from the passageway on the southside of the facility Repairing the burner of the gas stove that currently does not work Purchasing an internet device for resident use Component III was not completed on today's visit and will be conducted on the subsequent visit. An exit interview was conducted with Administrator Evan Tran and a copy of the report was provided.the state’s words, verbatim · CDSS document, May 12, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: EVAN TRAN, CHI LUU Interview Method: Telephone interview On March 26, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Mar 26, 2025