Happy Home Living Modesto

Type of visit: Prelicensing

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived announced to the facility at 12:15 PM on 3/19/26. LPA met with administrator/licensee, Meaza Gelaw to explain the purpose of the visit. Happy Home Living Modesto is a 6 bed Residential Facility for the Elderly, no clients in care at his time. Physical inspection was conducted to include the kitchen, bedrooms, bathrooms, common areas, exteriors, and evacuation route. Facility is clean, traffic areas are well lit and unobstructed. Kitchen had adequate food and food storage for 2 days perishable, 7 days nonperishable foods. there was lockable storage for the medication, sharps, and toxics. Bathroom had functional hardware, water was measured at 105-120*F. Common areas, internal/external, had furnishings in good repair, enough space for activities. Exterior was free of tripping hazards. Evacuation route gate swings freely and latches closed. First aid kit had the necessary items,. Smoke and Carbon monoxide alarms were functional. continued on c page. A sample staff file is ready to go, it has sections for the health screening, cpr/first aid, fingerprinting clearances, and continuing and initial trainings. A sample client file is ready to go, it has sections for the health screening, admission agreement, ammendments to the admission agreement, functional capability assessment, recent health assessments, and needs and services plans. The administrator documents were reviewed, including but not limited to: required facility posters (ombudsman, personal rights, facility sketch with evacuation routes, employee rights, admin certificate), the administrator training and certification to include hiv/blood borne pathogens, control of the property(lease agreement), secretary of state corporation taxes paid, and the insurance to include the liability and workers comp, yet to be purchased, bonding company is lined up. The Comp 3 presentation was completed. A copy of the report was read and given to the the Administrator, the LPA has no objections to licensure as part of this visit. Exit interview was conducted.the state’s words, verbatim · CDSS document, Mar 19, 2026

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: MEAZA GELAW Interview Method: Telephone interview On February 11, 2026, 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, Feb 11, 2026