Green Bell Care Home

Type of visit: Required - 1 Year

Unannounced Annual Inspection visit was made by Licensing Program Analyst (LPA) Kimberly Viarella to this facility on 10/15/25. LPA identified, explained the purpose of the visit, and met with the Licensee/Administrator, Namjung Cho. A brief interviewed followed. Currently there was one resident in care. The facility license was posted: this facility was licensed for a capacity of 6 non-ambulatory and was granted a hospice waiver for 2. LPA noted the Administrator/Licensee, certificate, # 6069747740 expired on 04/21/26. LPA observed that the required facility sketch, and Emergency /Disaster plan, were posted along with Resident Rights and the Ombudsman information and "If You See Something, Say Something," poster. The inspection began in the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. All pantry items had visible expiration dates. LPA provided technical assistance on dating containers in the refrigerator with the date the item was opened or repackaged. LPA inspected the 3 resident bedrooms and 2 staff bedrooms. All resident rooms had the required furniture, furnishings and lighting to be in compliance at this time. LPA noted soap, paper towels and trash cans with lids in the bathrooms. The hot water temperature was measured at 109 degrees Fahrenheit and was in compliance. The fire extinguisher was last inspected on 04/08/25 by River City Fire Equipment Co. was were also in compliance. The exterior of the building was inspected by the LPA. There were no bodies of water present and the yard was completely fenced in. LPA observed that all screens and gutters were in good repair. There were no storage sheds or outbuildings. There was also a covered patio area for residents to enjoy. The LPA observed medications were stored in a large cabinet in the kitchen and inaccessible to residents in care. LPA reviewed storage, dosing, and destruction procedures. A review of the First Aid kit by the LPA found it to be complete and in compliance. A file review was completed by the LPA. The review of the resident’s file was complete and in compliance. A review of the file for the caregiver on duty was conducted, it was in compliance and all members listed on the LIC 500 had their required background clearances. According to the California Code of Regulations, Title 22, there were no deficiencies observed or cited during today's inspection. A copy of this report was provided and an exit interview was conducted with Cho.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christina Valerio arrived announced to conduct a pre-licensing inspection. LPA Valerio met with Licensee/Administrator Namjung Cho, and explained the purpose of the visit. The facility is licensed to serve individuals 60 years of age and older. Fire Clearance granted for 6 non-ambulatory, master bedroom approved as staff room only, room behind living room approved as staff room only. The facility LPA Valerio and Administrator toured the facility to ensure compliance with Title 22 regulations. Resident bedrooms were fully furnished, clean, and organized. Resident bathrooms were fully stocked and equipped with a shower chair, hand rails, trash can, hand soap, and paper towels. Common areas were fully furnished. LPA observed where staff files, resident files, and medications will be stored. All cabinets were equipped with locks to ensure sharps, chemicals, and medications were locked and inaccessible to residents in care. The facility was observed to have a pantry with food items, a refrigerator and freezer for perishable and non-perishable food items. The backyard exterior area had an area for outdoor visitation, gardening area, and outdoor activities. No health and safety concerns were observed. Pre-Licensing is complete and this facility has no deficiencies. Component III was completed. No further questions. An exit interview was held, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 17, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: Namjung Cho, Admin/Licensee Interview Method: Virtual interview (MS Teams) On 7/1/2024, 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, Jul 1, 2024