Early Bird Care Home 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with staff Corazan Anala and was granted entry to the facility. The facility is a (4) bedroom, (3), bathroom home, with a kitchen/dining area, living room, and attached garage. Licensed capacity is (6) current census (6). LPA was accompanied by House Manager Tessa Perez, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) resident file for admission agreements, updated physician reports, and needs and services plans. LPA also verified (3) resident's medications and (2) Hospice Files. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screening. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to House Manager Tessa Perezthe state’s words, verbatim · CDSS document, Jul 30, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with staff Claudia Lizardo and was granted entry to the facility. The facility is a (4) bedroom, (3), bathroom home, with a kitchen/dining area, living room, and attached garage. Licensed capacity is (6) current census (3). LPA was accompanied by staff Claudia Lizardo , to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents . Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (2) resident file for admission agreements, updated physician reports, and needs and services plans. LPA also verified (2) resident's medications and (2) Hospice Files LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screening. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to staff Claudia Lizardo .the state’s words, verbatim · CDSS document, Oct 14, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Bernadette Allen conducted an announced visit to the facility for purpose of a pre-licensing evaluation. An initial application to operate a Residential Care Facility for the Elderly was submitted to the Central Applications Unit (CAU) on 05/21/2024 for a total capacity of 6 non-ambulatory. Fire Clearance was granted 06/20/2024. LPA Allen met with Patsara Chantharaseth- Administrator. LPA Allen observed the following: Structure: Facility was a single story house with five (5) bedrooms, three (3) bathrooms, living room, dining area, office space, and kitchen area. Heating/Cooling System: Central heating and air conditioning systems. Bedrooms: All bedrooms were adequately furnished with bed, chair, large closets, appropriate linens, adequate lighting, and an operational smoke alarm and fire extinguishers. Bathrooms: Bathrooms have a working toilet, wash basin, and shower with an adequate supply of towels, toilet paper, and toiletries. Water temperature measured at 118 F. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Cleaning supplies and knives/sharp instruments were secured in a locked cabinet and/or drawer. There was adequate room for food storage. Refrigerator/freezer were in working condition. There was adequate seating for meals. Living/Family room: Furnished with safe and adequate seating and furnishings. All items appear to be in good repair. Linens and Hygiene Supplies: An adequate supply of linens was available. Laundry detergents and cleaning solutions were secured. Yards/Outside: There was a covered area with adequate seating for staff and clients. There were no obstructions. There were no bodies of water observed anywhere on the property. Garage: Garage was organized and free of obstructions. Emergency Phone Numbers, and Exit Plan: Let-Us-No poster and clients rights are posted. General items: LPA observed a working facility phone. LPA reviewed COMPONENT III with the applicant during this Pre Licensing Inspection. This facility physical plant is prepared for licensure at this time. A copy of this report was discussed and provided to Patsara Chantharaseth- Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 18, 2024