Facility Evaluation Report

On 1/8/2026 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Mohini Lata and explained the purpose of the visit. Co-Administrator, Bittum Narula arrived an hour later.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 5/17/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water was measured at 105.2 degrees F in the hallway bathroom. There were adequate lights in each room. First Aid kit is complete. LPA reviewed 4 clients and 3 staff files starting at 2:00PM. LPA reviewed a sample of client's medications. LPA reviewed client's P&I money with log.

At 2:20PM, LPA observed C2, C3, and C4 does not have current IPP or appraisal needs and service on file.

At 3:03PM, LPA observed C4's P&I money did not match the P&I log. LPA was informed that C4's remaining money was in a bank account. However, facility was not able to provide current bank statement.

At 3:45PM, LPA observed S2 does not have current First Aid and CPR training.

At 4:00PM, LPA observed facility did not conduct quarterly disaster drills.

At 4:50PM, LPA observed client's Centrally Stored records were not maintained.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.