Alondra Care Home 3

Type of visit: Case Management - Annual Continuation

On this day, May 27, 2026, at 1:50 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the annual required inspection that was started on May 26, 2026. LPA met with staff, Rosemarie Salas, and informed the reason for visit. Jezrael Pascual, administrator (ADM) arrived at around 2:25 pm. LPA reviewed 5 residents and 5 staff records. LPA checked residents' medications and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents cash resources and/or P&I. Facility conducts disaster drills and records showed last conducted November 9, 2025 and February 25, 2026. Administrator stated she'll have the disaster drill conducted tomorrow, May 28, 2026. Administrator to submit updated/current copies of the following documents by June 10, 2026: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate LPA observed the following: -at 2:30 pm, staff (S2) has no required training for 2025, no LIC503 Health Screening -at 3:00 pm, staff (S3) who started 02/2026 has only total 16 hours training. .....continued on 809C CONTINUED FROM PAGE 1: -at 3:15 pm, staff (S4) has not completed the total 40 required training for 2025, no LIC503 Health Screening and TB test. -at 4:00 pm, resident's (R1) LIC602A Physician's Report not consistent with R1's current ambulatory status. -at 4:05 to 4:30 pm, all 5 residents do not have LIC9172 Functional Capability Assessments on file. -at 4:40 pm, residents (R1, R4 and R5) half bed rails do not have doctor's orders on file. -at 5:00 pm, resident (R3) 13 medications, of which 1 is PRN have no doctor's order on file. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates and any repeat violation within 12 month period may result in civil penalty. Deficiencies, plan and proof of corrections were discussed with the administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, May 27, 2026

Type of visit: Required - 1 Year

On this day, May 26, 2026, at 4:05 pm., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Rosemarie Salas, and informed the reason for visit. LPA called and spoke over the phone with Thinn Aye, licensee. Licensee gave permission to Rosemarie Salas to be with LPA while doing inspection, because she can not come to the facility and Jezrael Pascual, administrator (ADM) is at her (licensee) other facility at the moment. ADM arrived at around 5:15 pm. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition during today's visit. Fire extinguisher was observed fully charge with tag showed serviced May 14, 2026. Hot water temperature in the common bathroom was tested. LPA observed the following: -at 4:16 pm, unlocked kitchen cabinet under the sink where Clorox and other cleaning agents were stored. -at 4:17 pm, 3 bottles of Milk of Magnesia in the refrigerator. -at 4:22 pm, Fabuloso cleaning agent in unlocked closet by the hallway. -at 4:25 pm, Comet in cabinet in residents' ensuite bathroom. -at 4:27 pm, Voltaren cream in one of residents' rooms. -at 4:28 pm, CA-Rezz skin cream/ointment in the common bathroom. ...continued on 809C CONTINUED FROM PAGE 1: -at 4:30 pm, hot water temperature at 123.3 degrees Fahrenheit. -at 4:33 pm, staff medications in unlocked garage. -at 4:34 pm, shovel in the side yard. -staff (S1) who had been working for 5 days now is not fingerprint cleared. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $250.00 civil penalty is assessed for deficiency section #87309(a) for repeat violation within 12 month period. A $500.00 civil penalty is also assessed for section # 87355(e)(2) for staff who is not fingerprinted and will continue for $100.00 per day until corrected. Failure to submit proof of corrections by plan of correction due dates for other deficiencies cited may also result in civil penalties. Deficiencies, plan and proof of corrections, and civil penalties were discussed with the administrator. Due to time constraint, LPA will come back to continue the inspection. Exit interview conducted. Appeal Rights, LIC421IM and LIC421FC Civil Penalties, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, May 26, 2026

Allegation investigated: Lack of supervision.

On this day, January 22, 2026, at 12:30 p.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the investigation of the above allegation. LPA was granted entry by staff, Yu Zana, and informed the reason for visit. LPA called and spoke with Thinn Aye, administrator (ADM) who arrived at around 1:05 p.m. During the course of investigation, LPA reviewed residents' records and obtained copies of including but not limited to the following documents: Admission Agreement; LIC602A Physician's Reports; LIC625 Appraisal/Needs and Services Plan. LPA also obtained copies of LIC500 Personnel Reports. LPA interviewed the following: residents (R3, R5) and ADM on August 29, 2025 and October 1, 2025; resident (R1) and staff (S1 and S3) on October 1, 2025; first responder (FR) on October 14, 2025. ...continued on 9099C Substantiated R1 stated that on August 2025, R2 fell and there was no staff to assist. R1 called the staff but no response, so she end up calling 9-11. R3 and R5 stated they were not residents of the facility at the time the incident happened. Review of R2's record showed R2 has sundowning behavior. Although LPA was not able to obtain information from R2 due R2's medical condition, the first responder (FR) who confirmed attending to 9-11 call stated R2 was still on the floor when they arrived and no caregiver present. FR stated the other first responder banged the door of the garage but no one responded. The 2 staff interviewed stated there was no staff assigned at night when the incident happened. Review of LIC500 showed Thinn Aye (ADM) scheduled at night from 7:00 pm to 7:00 am, however, LIC500 for her other facilities showed her on the scheduled for same time from 7:00 pm to 7:00 am on Mondays, Wednesdays, Thursdays, Fridays, Saturdays and Sundays. She is also on the schedule on one of her other facility on Tuesdays from 7:00 am to 1:00 pm. Although the R2 did not sustain injury when R2 fell, the allegation is substantiated based on information gathered that there was no staff present at night. A substantiated findings means that the preponderance of evidence is met. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. A $500.00 civil penalty is assessed for deficiency section # 87411(a). Failure to submit proof of correction by plan of correction due date and any repeat violation may result in additional civil penalty. Deficiency, plan and proof of correction and civil penalty were discussed with ADM. ADM has to leave and authorized Mya 'Clara' Thazin to sign and receive this report. Exit interview conducted. Appeal Rights, LIC421FC, LIC9098 Proof of Correction and copy of this report provided.the state’s words, verbatim · CDSS document, Jan 22, 2026 · control 15-AS-20250924164748

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Jan 23, 2026

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.......... -This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section when R2 fell and no staff present which posed and immediate safety, health and/or personal rights risks to person in care.the state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: Administrator to ensure staff coverage and submit updated copy of LIC500 Personnel Report by 1/23/26. A $500.00 civil penalty is assessed.

Allegation investigated: Facility does not arrange medical appointment for resident. Facility does not provide supervision at night resulting in bodily injury. Licensee treated resident inappropriately. Staff does not communicate effectively.

On this day, January 22, 2026, at 12:30 p.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the investigation of the above allegation. LPA was granted entry by staff, Yu Zana, and informed the reason for visit. LPA called and spoke with Thinn Aye, administrator (ADM) who arrived at around 1:05 p.m. During the course of investigation, LPA reviewed residents' records and obtained copies of including but not limited to the following documents: Admission Agreement; LIC602A Physician's Reports; LIC625 Appraisal/Needs and Services Plan. medical records. LPA also obtained copies of LIC500 Personnel Reports. LPA interviewed the following: residents (R3, R5) and ADM on August 29, 2025 and October 1, 2025; resident (R1) and staff (S1 and S3) on October 1, 2025; first responder (FR) on October 14, 2025. ...continued on 9099C Unsubstantiated Allegation: Facility does not arrange medical appointment for resident. R1 stated she has medical conditions and needs to see a doctor but the administrator (ADM) does not want to assist. ADM stated stated R1 has not asked her to assist in medical appointments because R1 does it herself and needs to have ambulance for the transport. ADM also stated they assist R1 in picking-up R1's medications. LPA was not able to confirm whether or not R1 needs assistance because there's no LIC602A Physician's Report which according to ADM R1 does not want to provide, therefore the allegation is unsubstantiated. Allegation: Facility does not provide supervision at night resulting in bodily injury. R1 stated that on August 2025, R2 fell and there was no staff to assist. R1 called the staff but no response, so R1 end up calling 9-11. R3 and R5 stated they were not residing at the facility on the time the incident happened. Review of R2's record showed R2 has sundowning behavior. LPA was not able to obtain information from R2 due R2's medical condition. The first responder (FR) who confirmed attending to 9-11 call stated R2 was still on the floor when they arrived and no caregiver present. The 2 staff interviewed stated there was no staff assigned at night when the incident happened. Although information obtained by LPA confirmed there was no staff present when R2 fell, however, review of medical record showed R2 did not sustain injury, therefore, the allegation is unsubstantiated. Allegation: Licensee treated resident inappropriately. R1 stated the licensee who is also the administrator (ADM) threatened to evict R1 when R1 did not want to move to Oakland to be the house manager of licensee's other facility. ADM stated her business partner is opening an independent living home in Oakland and that she (ADM) asked R1 to move to that location and be the house manager because R1 told her that R1 was a house manager before and been doing it for years. ADM stated that in the beginning R1 said yes then changed mind and said she does not want to move to Oakland. R1 is paying only $1400/month because R1 is independent. ADM stated she gave R1 a notification in August 2025, but she didn't make a copy of the notification. Therefore, the allegation is unsubstantiated. ....continued on 9099C Allegation: Staff does not communicate effectively. R1 stated S4 does not know how to speak English. ADM stated S4 knows how to speak English and S4 only worked for 2, 3 days. ADM futher stated that all her staff understand and although they are not fluent, know how to speak English. LPA interviewed S1 and S3 in English and observed them able to communicate. LPA was not able to interview S4. Therefore, the allegation is unsubstantiated. Based on interviews and records review, the 4 allegations are unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. ADM has to leave and authorized Mya 'Clara' Thazin to sign and receive this report. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Jan 22, 2026 · control 15-AS-20250825103605

Type of visit: Case Management - Deficiencies

On this day, January 22, 2026, while at the facility investigating complaints (Control #'s 15-AS-20250825103605 and 15-AS-20250924164748), Licensing Program Analyst (LPA) Delmundo met with staff (S1). S1 stated she started working yesterday and on this day. LPA checked Guardian Portal no fingerprint clearance and not associated to this facility. LPA also observed Advil in the family room and tree trimmer in the backyard. LPA also observed Thinn Aye (ADM) had an argument with resident R1 when R1 told LPA that ADM said an inappropriate words to R1. LPA has to break the argument and talked to ADM in the family room. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $250.00 civil penalty is assessed for deficiency section # 87455(e)(2). Failure to submit proof of corrections by plan of correction due dates and any repeat violation may result in additional civil penalty. Deficiencies, plan and proof of corrections and civil penalty were discussed with ADM. ADM has to leave and authorized Mya 'Clara' Thazin to sign and receive this report. Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty, LIC9098 Proof of Correction and copy of this report provided.the state’s words, verbatim · CDSS document, Jan 22, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87455(e)(2) · Plan of correction due date: Jan 23, 2026

87355 Criminal Record Clearance (e) All individuals....shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. -This requirement is not met as evidenced by: -Based on interview and record review, the licensee did not comply with the section above in allowing S1 worked without fingerprint clearance which posed an immediate safety and/or personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: S1 left while LPA was at the facility. Administrator stated she'll no longer have S1 work. Self-certification to be submitted by 1/23/26. A $200.00 civil penalty is assessed.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Jan 23, 2026

87309 Storage Space and Access (a)... the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. -This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in unlocked Advil and tree trimmer which posed an immediate health, safety and/or personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: Administrator locked the items. In addition, administrator to in-service the staff and submit copy of training topics with attendees signatures by 1/23/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 1569.269(a)(1) · Plan of correction due date: Feb 5, 2026

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. -This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in engaging in argument with R1 which posed a personal rights risk to person in care.the state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: Licensee-administrator to read the Regulation and ensure compliance. Self-certification to be submitted by 2/05/26.

Type of visit: Case Management - Deficiencies

While at the facility conducting inspection with Thinn Aye, administrator (ADM), for investigation of a complaint (Control # 15-AS-20250825103605), Licensing Program Analyst (LPA) Delmundo observed dividing walls and 2 beds in the garage. After granting of fire clearance by fire department on 1/22/25, and before granting of license, pre-licensing inspection was conducted by LPA on 3/13/25. LPA observed rooms with permanent walls installed in the garage. LPA reached out to fire marshal, and ADM had the rooms demolished. LPA reached out to fire marshal again regarding the dividing walls installed in the garage. Per fire marshal, the dividing walls are not allowed and that the demolition of the walls on the garage and the explanation of not using it as habitable space was conveyed prior.The garage can only be used if permitted and constructed per code, otherwise, it should remain a garage. On this day, 10/01/25, LPA learned and observed resident (R1) has 5 and 1 scratches/wounds on the lower right arm and left arm respectively caused by the dog in the facility. ADM stated the incident happened 2 days ago. On this same day, 10/01/25, the same dog came inside the facility and kept jumping on LPA. LPA also observed resident (R2) with two half bed rails on one side of the R2's bed, and R2 is not on hospice. .......continued on 809C Deficiencies, plan and proof of correction and civil penalty were discussed with ADM. Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report providedthe state’s words, verbatim · CDSS document, Oct 1, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Oct 2, 2025

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. -This is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in have dividing walls in the garage and beds which pose an immediate risks to the safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: Administrator had the dividing walls and mattresses removed. In addition, administrator to remove the captain beds and dividing walls removed from the garage. Pictures to be submitted by 10/02/25. A $1,000.00 civil penalty is assessed.

From the deficiency page — Deficiency type: Type A · Section cited: HSC1569.269(a)(5) · Plan of correction due date: Oct 2, 2025

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. -This is not met as evidenced by: -Based on observation and interviews, the licensee did not comply with the section above when R1 sustained wounds/scratches caused by the dog in the facility.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: Corrected. Administrator removed the dog while LPA was at the facility.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87608(a)(5)(B) · Plan of correction due date: Oct 15, 2025

87608 Postural Supports: (a) Postural supports may be used under the following conditions.(5)..(B)Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. -Based observation, the licensee did not comply with the section above in having full bedrails in R2's bed which poses a potential personal rights risk to person in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: Corrected. Administrator removed the other half bed rail.

Type of visit: Case Management - Deficiencies

While at the facility conducting investigation of a complaint (Control # 15-AS-20250825103605), Licensing Program Analyst (LPA) Delmundo observed during inspection, review of records and interviews the following which LPA discussed with Thinn Aye, administrator (ADM). -at 12:48 pm, side fence gate locked. -no file/record for resident (R1). ADM stated R1 does not have file/record. -no LIC9020 Register of Facility Clients/Residents -two residents (R2 and R3) were sent out to the hospital and administrator did not submit LIC624 Unusual Incident Reports. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $500.00 civil penalty is assessed for deficiency section # 87203. Failure to submit proof of corrections by plan of correction due dates and any repeat violation within 12 month period may result in additional civil penalty. Deficiencies, plan and proof of corrections and civil penalty were discussed with ADM. Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment and copy of this report provided,the state’s words, verbatim · CDSS document, Aug 29, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Aug 30, 2025

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. -This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in locking the side fence gate which posed an immediate safety and/or personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: Administrator removed in the lock. In addition, administrator to in-service the staff and submit proof by 8/30/25. A $500.00 civil penalty is assessed.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a) · Plan of correction due date: Sep 12, 2025

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. -This requirement is not met as evidenced by -Based on record review and interview, the licensee did not comply with the section above in not completing R1's record/file which poses a potential personal rights risk to person in care.the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: Administrator agreed to complete the record and submit self-certfication by 9/12/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87508(a) · Plan of correction due date: Sep 12, 2025

87508 Register of Residents (a) The licensee shall ensure that a current register of all residents in the facility is maintained and contains the following updated information........ -This requirement is not met as evidenced by: -Based on record review and interview, the licensee did not comply with the section above in not having LIC9020 which poses a potential personal rights risk to persons in care..the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: Administrator to complete the LIC9020 and submit copy by 9/12/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1)(D) · Plan of correction due date: Sep 12, 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:(D) Any incident which threatens the welfare, safety or health of any resident... -This requirement is not met as evidenced by -Based on record review and interview, the licensee did not comply with the section above in not sending incident reports (LIC624) for R2 and R3 which posed a potential health, safety and/or personal right risks to persons in care.the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: Administrator to complete the LIC624s and submit copies by 9/12/25.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Delmundo conducted an announced pre-licensing inspection. License application is for six (6) total capacity, all non-ambulatory. Fire clearance was granted on January 22, 2025. LPA met with Thinn Aye, applicant-administrator, and Jovany Sarabia, future staff. LPA toured the facility inside out. There is no body of water and fire place. LPA inspected the living rooms, dining area, kitchen, bedrooms. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Bathrooms with showers were observed with grab bars and non-skid mats. Food supplies checked and observed sufficient good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet to centrally store medications was observed with lock. Facility has call buttons for residents use. Fire extinguisher was checked. Smoke detectors were tested and observed in operating condition. First aid kit inspected and observed complete with manual. Facility has flash light for emergency lighting. Hot water temperature in one of the bathrooms was tested and measured at 109.6 degrees Fahrenheit. Complaint and Long-Term Care Ombudsman posters and Theft and Loss policy were observed posted in the prominent place in the facility. .....continued on 809C (page 2) Page 2 LPA observed the following: -cabinet under the kitchen sink and common bathroom where cleaning supplies are to be kept do no have locks. -range/stove knobs without covers -camera in the common area with feature that capture audio. Corrected on this same day - staff removed the camera. -no carbon monoxide detector. - no auditory signals on 3 other exit doors including the sliding door in one of the residents' rooms leading to the side yard. -strong smell of urine in the ensuite bathroom in the resident's room. -ladder, pieces of wood, rolls of chicken and barb wires, pails of paint, used paint pan, pieces of metal, piece of granite slab, 2 pieces of backer boards, collapsed box, wet pet beds, bag of cement, empty coffee canister in the side yards. -no Right to Resident Council and Right to Family Council posters. Corrected - staff posted the posters. -facility sketch received by Central Application Bureau (CAB) and approved by the fire department not consistent with the physical plant - 2 staff rooms added to the garage. There were cleaning and laundry supplies but the garage does not have lock. Applicant to do and submit the following proof of corrections (POCs) by March 27, 2025: -install locks in the cabinets. -purchase range/stove covers. -purchase and install carbon monoxide detector. -install auditory signals on the exit doors. -have the bathroom cleaned and submit self-certification. -have the yard cleaned. -install lock in the garage. ......continued on 809C (page 3) Page 3 -have the fire extinguisher serviced. -submit updated facility sketch showing the following: -Exit doors and windows -Dimensions and use of each room -Number of resident in each bedroom -Utility shut off locations -Driveway -Garage showing the 2 staff rooms On this same day, LPA received a signed letter from applicant requesting for update of facility telephone number. Upon receipt of updated sketch, LPA to submit to Central Application Bureau (CAB) analyst who in turn will submit a new request for fire safety inspection (STD850). LPA will also inform the CAB analyst when POCs for the other deficiencies are received. License to be granted by CAB analyst upon receipt of approved STD850 from the fire department and final review of application. Exit interview conducted and copy of this report provided to the applicant.the state’s words, verbatim · CDSS document, Mar 13, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Delmundo conducted an announced Component III Training via Teams Meeting. Component III was attended by Thinn Aye, applicant-administrator. LPA presented the training via Power Point presentation and had a discussion with the applicant-administrator. Exit interview conducted and copy of this report provided at the conclusion of the training.the state’s words, verbatim · CDSS document, Mar 13, 2025