Helping Hands, Llc

On 04/01/2026 at 10:05 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Luciana Arellano and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/11/2026. Emergency Disaster Plan was last posted on 01/30/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/30/2026. LPA reviewed 3 residents records and 2 staff records; all were complete. LPA also reviewed a sample of resident’s medications. The following documents were reviewed during the visit: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): NO Method: Telephone call with CAB COMP II Participants: Luciana Antonia Arellano & Elena Mihale Applicant/administrator Applicant/administrator participated in COMP II via telephone call with the analyst at CAB. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. 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 property 8. Discussed the COVID-19 Mitigation Plan & PIN emailed

On 3/24/2022, LPA’s (Licensing Program Analysts) L. Ibo and K. Nguyen arrived unannounced to conduct continuation pre-licensing inspection due to a change of ownership. LPAs met with applicant Elena Mihale. NO resident observed during the visit. LPA's conducted component III with applicant Elena Mihale and Antonia Arellano. LPAs discussed covid19 guidelines. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted with Applicant and a copy of report provided.

On 3/24/2022, LPA’s (Licensing Program Analysts) L. Ibo and K. Nguyen arrived unannounced to conduct continuation pre-licensing inspection due to a change of ownership. LPAs met with applicant Elena Mihale. NO resident observed during the visit. Facility has an approved fire clearance for 6 non ambulatory residents. Last fire inspection was conducted on 1/22/2022. LPAs inspected the facility including but not limited to 6 resident rooms, 1 staff room, 1 staff bathroom and 3 residents’ bathrooms, common areas, kitchen, dining, family room, living room, courtyard area and outside areas. LPAs toured the facility to check all the deficiencies cited on March 1, 2022. The following deficiencies was cleared during the visit: Bedroom #1; the only set up room for licensing inspection, with one bed, lamp shade, drawer, closet has multiple curtain rods and detached bedrail, lamps, unplugged TV, multiple comforter sets. CLEARED Bedroom #2; LPAs observed 1 hospital bed with open empty boxes all over the floor, pillows on top of open boxes, lamp shade on the floor, garbage bags under the hospital bed, mattress leaning on the side of the wall . CLEARED Continued to next page LI809C…. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Bedroom #3; LPAs observed hospital bed, per Administrator “sometimes someone rest on this room”, multiple medication that was placed on top of the bed dresser. CLEARED Bedroom #4; LPAs observed 2 hospital beds, towels, tissue boxes, mop and duster and unused bedsheets on top of the bed. CLEARED Bathroom adjacent to family room; LPAs observed hoyer lift, sticky flooring, unlock air freshener spray. CLEARED Bedroom #6 was set up as a nursery room. CLEARED Bedroom #5 was set up as storage room. CLEARED Medicine cabinet is located adjacent to bedroom #5, LPAs observed that key was attached to the medicine cabinet, inside the cabinet are unorganized random first aid supplies. CLEARED Bathroom right next to family room, LPAs observed unlocked disinfectant and cleaning supplies, air vent was open with missing cover/lid. CLEARED Hallway next to bedroom #1, LPAs observed cleaning supplies, gallon of bleach and heavy-duty degreaser. CLEARED Garage was observed to have scattered/unorganized random cleaning supplies, hoyer lift, water dispenser and etc. CLEARED Staff room and bathroom was being use by the new property owner; window screen was ripped. CLEARED Courtyard; LPAs observed, wires hanging from the roof, unorganized tables and chairs. CLEARED Backyard and side yard; LPAs observed screen door leaning on fence, the side of the shed had garbage bags, ladder laying on the pathway, multiple chairs observed in front of the shed, LPAs observed deck with multiple wood constructions, uneven pavement. CLEARED Component III completed. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted with Applicant and a copy of report provided.

On 3/1/2022, Licensing Program Analysts (LPAs) L. Ibo & K. Nguyen arrived unannounced pre-licensing for change of ownership. LPAs met with Administrator Elena Mihale.Licensee Antonia Arellano arrived around 6:45PM. LPAs explained the purpose of the visit. No residents observed during the visit. Facility has an approved fire clearance for 6 non ambulatory residents. Last fire inspection was conducted on 1/22/2022. LPAs inspected the facility including but not limited to 6 resident rooms, 1 staff room, 1 staff bathroom and 3 residents’ bathrooms, common areas, kitchen, dining, family room, living room, courtyard area and outside areas. LPAs observed the following during the inspection: Sticky floor Living is unorganized with the following items; kids’ trampoline, empty boxes, cluttered shoes Kitchen area; kitchen knives are placed on the counter; rotten fruits at the kitchen counter, unorganized and cluttered children’s toys & children’s supply, empty boxes, garbage’s, unlocked medication, flower base and old flowers with cloudy water, sink area has dirty dishes & pots and pans , dog food and dog water bowl located on the hallway Family room; cluttered children’s toys, basket full of toys that is blocking kitchen hallway, couch pillows was unorganized Bedroom #1; the only set up room for licensing inspection, with one bed, lamp shade, drawer, closet has multiple curtain rods and detached bedrail, lamps, unplugged TV, multiple comforter sets ...continued to lic809c... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Bedroom #2; LPAs observed 1 hospital bed with open empty boxes all over the floor, pillows on top of open boxes , lamp shade on the floor, garbage bags under the hospital bed, mattress leaning on the side of the wall Bedroom #3; LPAs observed hospital bed, per Administrator “sometimes someone rest on this room” , multiple medication that was placed on top of the bed dresser Bedroom #4; LPAs observed 2 hospital beds, towels, tissue boxes, mop and duster and unused bedsheets on top of the bed Bathroom adjacent to family room; LPAs observed hoyer lift, sticky flooring, unlock air freshener spray Bedroom #6 was set up as a nursery room Bedroom #5 was set up as storage room Medicine cabinet is located adjacent to bedroom #5, LPAs observed that key was attached to the medicine cabinet, inside the cabinet are unorganized random first aid supplies Bathroom right next to family room, LPAs observed unlocked disinfectant and cleaning supplies, air vent was open with missing cover/lid Hallway next to bedroom #1, LPAs observed cleaning supplies, gallon of bleach and heavy-duty degreaser Garage was observed to have scattered/unorganized random cleaning supplies, hoyer lift, water dispenser and etc. Staff room and bathroom was being use by the new property owner, window screen was ripped Courtyard; LPAs observed, wires hanging from the roof, unorganized tables and chairs Backyard and side yard; LPAs observed screen door leaning on fence, the side of the shed had garbage bags, ladder laying on the pathway, multiple chairs observed in front of the shed, LPAs observed deck with multiple wood constructions, uneven pavement Due to time constraint component III was not completed, LPA will re-visit facility. LPA is not recommending facility for license until all deficiencies are cleared from facility . This Pre-Licensing report will be submitted to the Central Application Branch (CAB) for review. Exit interview conducted with Applicant/Administrator.