Mindful Care Assisted Living

Type of visit: Post Licensing

On 09/23/2026, at 02:00 AM, Licensing Program Analysts (LPA) James Sampair arrived unannounced to conduct this Post-Licensing Inspection. Upon entry, the LPA stated the purpose of the visit to Caregivers Butch Jereza and Jaycel Maquiling. Administrator / Licensee (ADM) Kaitlin Chang arrived at approximately 03:00 PM. The LPA toured the community inside and outside. The tour of the community included, but was not limited to, residents’ rooms, bathrooms, kitchen, common areas, and the yard. The community was clean, appropriately furnished, and well lit. There are no bodies of water on the grounds of the community. The interior and exterior passageways of the community were free from obstructions. The LPA observed the required postings in the community. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There are more than the required minimum 7-day supply of nonperishable foods and 2-day supply of perishable foods on hand. The temperature of the refrigerator was below 40 degrees and the temperature of the freezer was below 0 degrees Fahrenheit. The maximum hot water temperature was measured at 112 degrees Fahrenheit in the kitchen. At 03:48 PM, the inside temperature was measured at 72 degrees Fahrenheit in the dining room. Continued on LIC 809-C... ...Continued from LIC 809 The centrally stored medication cabinet was locked. Staff trained to dispense medications directly from the original container to residents. The first aid kit was observed to be complete. The smoke and carbon monoxide detectors were operational. The fire extinguisher was last replaced on 02/20/2026. The Emergency Disaster Plan was reviewed by the ADM on 04/29/2026. The community is conducting Emergency / Disaster drills with all staff for all shifts each quarter. The most recent drill was conducted on 06/26/2026. The liability insurance is current through 07/17/2027. An administrator is on site more than the minimum of 20 hours a week to ensure proper business operations are being conducted. The LPA reviewed community records, 4 resident records, and 5 staff records for accuracy and completeness. Two (2) Type B citations were issued during this inspection. Deficiencies were cited per Title 22 California Code of Regulations and listed on LIC 9099-D. Failure to submit Proof of Corrections (POCs) by plan of correction due dates and/or any repeat deficiency within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 23, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 06/29/2026 at 9:40 AM, Licensing Program Analyst (LPA) James Sampair arrived announced to conduct this prelicensing visit. Upon entry into the facility, the LPA confirmed the purpose of the visit with Applicants Jared Chang and Kaitlin Chang. The LPA and Applicants toured the facility inside and outside. The tour of the facility included, but was not limited to, residents’ rooms, bathrooms, the kitchen, and common areas. The facility was clean, appropriately furnished, and well lit. The walkways in both the interior and exterior of the facility were free from obstructions. The refrigerator was cooling to 40 and the freezer to 0 degrees Fahrenheit. No body of water is on the facility grounds. There is more than the required minimum 7-day supply of nonperishable foods and a 2-day supply of perishable foods on hand. The centrally stored medication cabinet was locked. Bathrooms and showers were observed to be fully functioning and clean. Carbon monoxide and smoke detectors were operational. The fire extinguisher was purchased on 02/19/2026. At 10:37, the inside temperature was measured at 73.0 degrees Fahrenheit. At 11:40 AM, the maximum hot water temperature was measured at 111.0 degrees Fahrenheit. The facility passed this prelicensing inspection and the Component III training was completed with the Applicants. The license will be issued after Central Applications Bureau analyst completes the final review of the application. Exit interview conducted and a copy of this report provided to the Applicant.the state’s words, verbatim · CDSS document, Jun 29, 2026

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Jared Chang, Owner/Administrator and Kaitlin Chang, Owner Interview Method: Telephone interview On May 27, 2026, 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, May 27, 2026