Savant of Garden Grove

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Executive Director Marlen Arguero Hernandez and Vice President of Operations Nirjara Archarya. An initial application to operate a Residential Care Facility for the Elderly was submitted to CCL on 01/22/2026 for a capacity of 160 non-ambulatory residents. This is a change of ownership with 50 residents present today. Administrator Marlen Arguero Hernandez has an administrator certificate expiring on 03/27/2027. LPA Lyman along with Executive Director and Vice President toured the facility at 8:16 AM and observed the following: Structure: Facility is a two story building housing a library, salon, activity area, kitchen, dining room and outside patios along with a greenbelt. Common Areas: Adequate seating is available in multiple areas. Bedrooms Residents: Rooms are single and double occupancy. All rooms are equipped with appropriate lighting, furnishings and ample closet space. Bathrooms: All resident bathrooms have a working toilet/ wash basin as well as grab bars and non-skid surface in the shower. Facility has sanitizer/ soap in the common restrooms. Linens & Hygiene Supplies: Facility residents bring their own supplies however facility has purchased back up linens for residents to use as needed. Emergency Phone Numbers and Exit Plan: Posted near the entrance of facility. Food Service: Facility has an ample dining area for residents with daily menus. LPA toured the main kitchen. Facility has ample 2 day perishables and 7 day non-perishables. Smoke Detectors: Smoke detectors/ carbon monoxide detectors tested operational during today's visit. Facility self tests smoke detectors monthly. Fire extinguishers are mounted and charged. LPA observed evacuation chairs at stairwell. Appliances: Kitchen appliances as well as washers and dryers are clean and operational. LPA observed two laundry areas with one of the areas for resident to self clean their own laundry as desired. Continued on LIC 809C DATED 02/11/2026 Toxins/ Sharps: Facility has for toxins and sharps secured in locked closets. Water Temperature: Tested and recorded between 107.7 and 110.6 degrees F. in tested restrooms. Emergency Supplies: LPA observed ample emergency food and water in the facility as well as emergency incontinence supplies. Medications, First-Aid Kit & Book: Facility has first aid kits which contained required items including a manual. Medication is stored and locked in medication carts in medication room. Facility uses an electronic medication administration record. Resident & Staff File: Records are stored in the executive office. Reading Material, Games, and Equipment: LPA observed posted activity schedule with activities such as exercise, games and outings in the community. Facility has an internet device for residents to access. Outside areas: LPA observed multiple outdoor shaded areas for visiting. Fire Clearance: Approved for 160 non-ambulatory residents on 01/12/2026. Component III conducted during the visit. Facility is ready to be licensed. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Feb 11, 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, Jan 21, 2026