Carlsbad Village Senior Living

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Ramin Hashemi 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 Executive Director (ED) Brandon Cho and Maintenance Director (MD) John McGrory. The facility fire clearance was granted on 02/25/2026 and reflected that the facility was approved for Two hundred and fourteen (214) residents in total, of which one hundred and sixty-six (166) may be non-ambulatory and twenty-five (25) may be bedridden. The submitted facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by the ED and MD, toured the interior and exterior of the facility and inspected rooms. 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 compliant at 73 degrees F. Hot water temperature at taps accessible to residents were also compliant. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future resident use. All kitchen appliances were in working order. Refrigerator temperature was 38 F, and freezer temperature was 0 F. (Continued on LIC809, Page 2) (Continued from LIC809, Page 1) The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. One pool was observed on the premises in compliance with regulations. There were no toxic chemicals/poisons, open-faced heaters, or other hazards accessible to residents. Per the ED, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. The facility's fire extinguisher was serviced within the last twelve (12) months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA also provided the Component III Training during today’s visit. ED was advised that the facility’s application is pending management final review and approval. Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted with the ED, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jun 25, 2026

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Jun 11, 2026