Illustration — no photo of this home on file yet
- Care approvals on fileDementia · Hospice · BedriddenState licensing record · September 13, 2026
- Estimated starting rate$4,350 a monthCovelight estimate · likely $3,600–$5,400
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit5 of 6 beds occupiedDecember 16, 2025 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitJune 3, 2026CDSS inspection record
Alondra Care Home is a small care home in Oakland — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2024. Wheelchair and non-ambulatory care is not on file.
Built from CDSS public records · September 13, 2026. Every fact below names its source and date.
Quick answers and the state record
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about Alondra Care Home
Is Alondra Care Home licensed?
The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
How many residents is Alondra Care Home licensed for?
6 residents — a small home, per CDSS records as of September 13, 2026.
Has Alondra Care Home been cited?
1 Type A and 2 Type B citations since 2024, per CDSS records as of September 13, 2026. Those records count 13 state visits over the same years.
Is Alondra Care Home still open?
This license was on the CDSS roster as of September 28, 2026.
What does Alondra Care Home cost?
$4,350 a month to start is a Covelight estimate, likely $3,600–$5,400. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”
Covelight’s estimate starts from the rates 8 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Among 34 other homes of a similar licensed size across Alameda County that publish a starting rate, the middle half runs $3,000 to $5,735 a month, and the middle figure is $4,500 (n = 34 other homes publishing a starting rate).
Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.
A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.
The price is made in the phone call. Nothing here is a quote, an offer or a discount.
A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.
Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.
Does Alondra Care Home take Medi-Cal?
On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
Who holds the license?
The license is held by Asian Angel LLC, per CDSS records as of September 13, 2026.
Is there a hospital nearby?
San Leandro Hospital is 2.4 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Alondra Care Home keep a resident on hospice?
Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of September 13, 2026.
Alondra Care Home license and inspection record
- Name on the license: “ALONDRA CARE HOME”, per the CDSS roster as of May 25, 2025.
- License #19201341. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
- Licensed to Asian Angel LLC, per CDSS records as of September 13, 2026.
- First licensed in 2024, per CDSS records as of September 13, 2026.
- 13 state inspection visits since 2024, per CDSS records as of September 13, 2026.
- 1 Type A and 2 Type B citations on file since 2024, per CDSS records as of September 13, 2026. The same records count 13 state visits in that period.
- 2 complaints and 3 substantiated allegations on file since 2024, per CDSS records as of September 13, 2026. One complaint can carry several allegations.
- The most recent state visit on file is June 3, 2026, per CDSS records as of September 13, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
Can they support the care needed?
California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.
- Wheelchair / non-ambulatoryNot on file · ask the home
- Dementia / memory careApproved by the state
- Hospice careApproved · covers up to 6 residents
- BedriddenApproved · covers up to 2 residents
State licensing record · September 13, 2026. An approval may cover specific rooms or residents; it does not establish an opening.
Read the state’s own wording
APPROVED FOR: AGE RANGE 60 AND OVER.FOUR (4) AMBULATORY RESIDENTS IN ROOMS 1, 2 AND 5 AND TWO (2) BEDRIDDEN RESIDENTS IN ROOMS 3 AND 4. HOSPICE WAIVER FOR SIX (6).
983 - RCFE / DEMENTIA
CDSS record, verbatim · September 13, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 6 — care may continue at the end of life
Ask: “If hospice is needed, can care continue here until the end?”
State licensing record · September 13, 2026
- If memory loss develops
Dementia-care designation on file
Ask: “Can we read the dementia care disclosure and discuss how daily support works?”
State licensing record · September 13, 2026
3 more questions to ask the home
- Two-person transfers or a lift
Not on file
Ask: “If two people or a lift are needed to transfer, can the person stay?”
- Someone awake overnight
Not on file
Ask: “Who is awake overnight, and how do residents ask for help?”
- Medicines
Not on file
Ask: “Who manages the medicines, and what happens when a dose is missed?”
What it costs here
Covelight estimate
$4,350a month to start
Likely $3,600–$5,400
From 8 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$4,350a month
Likely $3,600–$5,600
With a shared room and basic help.
An estimate for planning, not a quote. The price is made in the phone call.
See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Starting monthly rate$4,350likely $3,600–$5,400
Covelight’s estimate starts from the rates 8 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,000one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.
- Likely monthly totalLikely $3,600–$5,600
- $4,350
- First monthWith a one-time move-in fee · likely $4,200–$8,700
- $6,350
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
- Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
- Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
- SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
- VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
- Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
- MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Avoid surprises on the billWhat changes the price, and what to ask
- The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
- What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
- Move-in costs
A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
- Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.
- What is the full monthly cost for the room and care we need, and what does it include?
- What would the next care level cost, and who decides when it changes?
- What is billed separately, and is there a one-time fee or deposit at move-in?
- Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing
Covelight’s estimate starts from the rates 8 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
8 homes like this within 5 miles publish starting rates mostly between $2,750–$5,500.
- Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
- Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
- Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
- Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
- We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
- It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 8 nearby homes behind this estimate
- D'Nalor Care HomesOakland · 0.8 mi · Small home$4,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Andre Alexis Guest HomeSan Leandro · 1.5 mi · Small home$3,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- St. Anthony's Residential Care HomeSan Leandro · 2.6 mi · Small home$3,700Listed on Seniorly · seen September 9, 2026
- Leslie Care Home IISan Leandro · 3.0 mi · Small home$2,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Andrew Elijah's Guest Home IISan Leandro · 3.3 mi · Small home$3,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- J & C Care CenterOakland · 3.5 mi · Mid-size home$4,000Listed on A Place for Mom · seen September 9, 2026
- Golden Age Bayside IIAlameda · 4.5 mi · Small home$10,000Listed on Seniorly · seen September 9, 2026
- Dimond CareOakland · 4.6 mi · Mid-size home$6,000Listed on AssistedLiving.com · seen September 9, 2026
Where it is
- 1643 101St Ave, Oakland, CA 94603Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.
Opening the neighborhood map…
The state record
California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.
Since 2024, the state has filed 13 documents for this home, and its records count 13 visits since 2024. The most recent is a facility evaluation report, dated May 12, 2026.
- On file since
- 2024
- State visits
- 13
- Most recent visit
- June 3, 2026
- Occupied · December 16, 2025 visit
- 5 of 6 bedsa count on that day, not an opening
We hold 2 complaint reports the state published for this home, dated February 19, 2025 to December 16, 2025. 2 of the 2 carry the state's recorded outcome word: “Substantiated” (2). 2 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 2 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
Beside homes the same size
- Type A citations1typical 0
- Type B citations2typical 0
- Substantiated allegations3typical 0
- Total complaints2typical 0
“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2024.
Year by year
The last 36 months — 13 of 13 documents
May 12, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 05/11/2026 at 10:20 AM, Licensing Program Analyst (LPA) David Doidge arrived to conduct 1-Year Annual Required inspection. LPA met with House Manager Jezrael Pascual and explained the purpose of the visit. During the visit, LPA toured facility including but not limited to the kitchen, dining room, resident bedrooms and bathrooms, front and back area of the facility, and common areas. Fire extinguisher last inspected on 02/27/2026 Smoke detectors and carbon monoxide detectors were tested and observed to be functional. LPA observed the facility to be at a comfortable 72 degrees Fahrenheit. All indoor and outdoor passageways are kept free of obstruction. Hot water temperature was measured at 116.1 degrees Fahrenheit. LPA observed skid mats and grab bars in resident bathrooms. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in or around the facility. LPA observed a sufficient supply of 7 day non-perishables and two day perishable food supplies. LPA reviewed two (2) resident files and four (4) staff files. Emergency Disaster drills are conducted quarterly; last drill was conducted on 03/10/2026. Centrally stored medications were observed locked in a cabinet. No deficiencies were cited during this inspection. Technical Assistance issued for bathroom screen missing. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 12, 2026
Apr 30, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Deficiencies
On 4/30/2026 at 3:40PM, Licensing Program Analyst (LPA) arrived unannounced to conduct a complaint visit AS-20260429092558. LPA met with Administrator, Thinn Aye and explained the purpose for the visit. While LPA Carol Fowler was at the facility for a case management visit, the following deficiency was observed. LPA observed a drawer and cabinet that contained unlocked medication. Staff removed and locked the medication during inspection. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 30, 2026
From the deficiency page — Deficiency type: Type A · Section cited: CCR 80075(k)(1) · Plan of correction due date: May 1, 2026
(k) The following requirements shall apply to medications which are centrally stored: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having unlocked medication in a unlocked drawer and cabinet located in the kitchen which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 30, 2026
Plan of correction: Administrator agreed to keep all medications locked at all times. Staff locked medication during visit. DEFICIENCY CLEARED DURING VISIT.
Apr 21, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Other
On 4/21/2026 at 2:50pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Jazrael Pascual, Caregiver, and explained the reason for the visit. While LPA L. Hall was conducting a complaint investigation (15-AS- 20260323111041) on 3/25/2026. During the visit LPA toured facility and observed the following deficiencies. LPA was also informed the administrator in FAS no longer is employed with the facility. · LPA observed facility did not have supplies necessary for personal care and maintenance of adequate hygiene. On 4/21/2026, S1 informed LPA that staff that will be the administrator is out-of-the country. Change has not been made and CCLD was not notified. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 21, 2026
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(3) · Plan of correction due date: Apr 28, 2026
(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: This requirement was not met evidence by: Based on observation the Licensee did not comply with the section cited above in have an adequate supply of hygiene and personal care products available for residents, which poses a potential health and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 21, 2026
Plan of correction: Caregiver submitted photos on 4/6/2026 of towels and hygiene. Deficiency clear before today's visit.
From the deficiency page — Deficiency type: Type B · Section cited: CCR87405(a) · Plan of correction due date: Apr 28, 2026
(a) All facilities shall have a qualified and currently certified administrator... The administrator shall... be on the premises a sufficient number of hours... When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications... of the facility as specified in this section... This requirement was not met by evidence by: Based on interview and observation the Licensee did not comply with the section cited above in having an assigned or back up administrator, which poses a potential health, safety, and person rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 21, 2026
Plan of correction: The caregiver agreed to have Licensee submit documents to change the administrator to a qualified administrator to CCLD by POC date.
Mar 9, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Other
On 3/9/2026 at 11:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 2/17/2026. LPA met with caregiver, Sam Htet and explained the purpose of the visit. Administrator, Jezrael Pascual arrived 30 minutes later. Death report stated that staff found resident (R1) not breathing and responding. Staff immediately informed licensee, administrator, and responsible person. LPA interviewed staff and reviewed R1's files. R1's physician's report dated 9/17/2025 stated that R1 had diagnosis of Alzheimer's Dementia, hypertension, diabetes, hyperlipidemia, etc. R1's discharge summary notes dated 2/9/2026 revealed that R1 was discharged with home health care and diagnosis of hypertension, dysphagia, seizure, Alzheimer's Dementia, etc. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Mar 9, 2026
Mar 9, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Deficiencies
On 3/9/2026 at 1:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Administrator, Jezrael Pascual and explained the purpose for the visit. While LPA G. Luk was at the facility for a case management visit, the following deficiency was observed. LPA observed the side gate was locked with a bike lock. Staff removed the lock during inspection. Civil penalty of $250 is being assessed for a repeat violation. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, Mar 9, 2026
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Mar 10, 2026
Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having the side gate locked which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Mar 9, 2026
Plan of correction: Staff removed the bike lock during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.
Dec 16, 2025Complaint investigation reportSubstantiated
Allegation investigated: Staff did not ensure showers were clean Staff did not ensure medications were locked and inassesable to residents
On 12/16/2025 at 12:50 PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct an initial 10-day complaint investigation in regards to the allegations above. LPA called Licensee/Administrator, Thinn Aye, and explained the purpose of the visit over the phone. Thinn gave authorization for caregiver, Khin Win, to sign the report. During the visit LPA toured the facility with Staff (S1) and observed that the individual locks on each locker that holds the residents' medications were not securely locked. LPA observed that the shower floors were not clean. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted with Khin Win. Appeal rights and copy of this report provided. Substantiatedthe state’s words, verbatim · CDSS document, Dec 16, 2025 · control 15-AS-20251211101359
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Dec 23, 2025
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Based on observation, the licensee did not comply with the section cited above by having the individual locks on each locker unlocked which poses an immediate health and safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025
Plan of correction: Administrator agreed to conduct an In-Service training with all 3 caregivers on the regulation, keeping medications locked and inaccessible to residents. Training sign-in sheet with synopsis will be submitted to CCLD by POC due date. During visit caregiver locked each individual lock on each locker.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a)(1) · Plan of correction due date: Dec 23, 2025
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times...(1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. Based on observation, the licensee did not comply with the section cited above by not having the shower floors and flooring in bathroom clean which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025
Plan of correction: Administrator agreed to clean the bathroom shower floors and flooring and will submit a photo of shower floors and surfaces clean. In addition, Administrator will conduct an In-Service training with all 3 caregiver staff on keeping and maintaining the facility clean including but not limited to shower floor surfaces. Training sign-in sheet will be submitted to CCLD by POC due date.
Dec 16, 2025Facility evaluation reportReport on file
Type of visit: Case Management - Incident
On 12/16/2025 at 2:10PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with caregiver, Khin Win and explained the purpose of the visit. While LPA L. Alexander was conducting a complaint investigation (#15-AS-20251211101359) on 12/16/2025. During interview with Staff (S1) LPA was informed that Resident (R1) got sick and 911 was called on 12/06/2025. R1 was transported by Emergency Medical Transportation and S1 stated that they were notified by R1's relative that R1 passed away at the hospital. LPA asked S1 if a Unusual Incident Report (UIR) was submitted to Community Care Licensing Division (CCLD) and S1 stated that they had the UIR written but hadn't submitted the document to CCLD. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights providedthe state’s words, verbatim · CDSS document, Dec 16, 2025
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Dec 23, 2025
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... Based on interview and record review, the licensee did not comply with the section cited above by not reporting and sending notification to licensing when the incident occurred with R1 on 12/06/25 which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025
Plan of correction: Administrator agreed to read the regulation and self-certify understanding moving forward with reporting requirements. Administrator will submit self-certification to CCLD by POC due date.
Dec 16, 2025Facility evaluation reportReport on file
Type of visit: Case Management - Other
On 12/16/2025 at 3:00 PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with caregiver, Khin Win and explained the purpose of the visit. While LPA L. Alexander was conducting a complaint investigation (#15-AS-20251211101359) on 12/16/2025. LPA observed latch locks located at the top of the inside doors and fastener holding the dead bolt door locks on exits 1 and 2 per facility sketch. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights providedthe state’s words, verbatim · CDSS document, Dec 16, 2025
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Dec 17, 2025
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. Based on observation, the licensee did not comply with the section cited above by having latch locks on Exit 1 and Exit 2 entrance doors which poses an immediate health and safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025
Plan of correction: Administrator removed the latch locks during the visit. Deficiency cleared.
May 20, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 5/20/25, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Thinn Aye and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the kitchen sink was measured at 118.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 2/10/25. Emergency Disaster Plan was last reviewed on 5/01/25. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/10/25. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 20, 2025
Feb 19, 2025Complaint investigation reportSubstantiated
Allegation investigated: Facility failed to issue proper refund.
On 2/19/25 at 1:30 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to deliver findings in regard to the allegations above. LPA met with Nini Myint, Care Giver and explained the purpose of the visit. LPA spoke with Licnesee Thinn Aye who gave permission for care staff to sign the report. During the course of the investigation LPA interviewed W1 and S1. LPA also reviewed R1's Admission Agreement and the invoice that was sent to R1's Responsible Party (RP) for food and items that were damaged during R1’s time at the facility. W1 and S1 both stated that R1 lived at the facility for a period of 6 days. Upon discharge S1 sent R1’s RP an invoice for extra food and items that S1 claimed R1 damaged while at the facility. ***report continues on LIC9099c*** Substantiated ***report continues from LIC9099*** Review of R1’s Admission Agreement revealed no provision for the facility to charge residents for extra food or damage they may have caused to the facility. Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted, a copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Feb 19, 2025 · control 15-AS-20250122122719
From the deficiency page — Deficiency type: Type B · Section cited: CCR 875079g)(3)2 · Plan of correction due date: Feb 19, 2025
87507 Admission Agreements: (g) Admission agreements shall specify the following:(3) Payment provisions, including the following: 2 .A comprehensive description of and the corresponding fee schedule for all basic services not included in the single fee shall be listed. Based on observation the licensee did not comply with the section cited above. License failed to issue a full refund tto R1's RP which poses an potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 19, 2025
Plan of correction: Licensee to issue a full refund to R1's RP by POC date.
May 7, 2024Facility evaluation reportReport on file
Type of visit: Prelicensing
On 5/7/2024 at 9:30AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct Pre-licensing Inspection. Upon arrival, LPA met with Licensee, Thinn T Aye, and explained the purpose of the visit. The facility currently has no clients. LPA toured facility including but not limited to 5 bedrooms, 2 half bathrooms, one full bathroom, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 70 degrees F and hot water temperature was maintained at 113.3 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last purchase on 2/17/2024. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, May 7, 2024
May 7, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Other
On today date Licensing Program Analyst (LPA) K. Nguyen conducted a Comp III and met Licensee, Thinn T Aye. After the presentation Licensee stated that Licensee understand the materials that are presented in Comp III. Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, May 7, 2024
Apr 9, 2024Facility evaluation reportReport on file
Type of visit: Office
Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Aye, Thinn T - Applicant & Kuppusamy, Nirmala - Administrator Interview Method: Virtual interview (Skype, Go To Meeting, etc) On 04/09/2024, 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 that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. 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. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 9, 2024
What the state’s words mean
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