Senior Care Records.

Facility Evaluation Report

Bethel Lutheran Home, INC., Selma11/25/2025Licence 100400043

Capacity33
Census20
Date signed11/26/2025 08:49:18 AM
Name of licensing program analystMai Yang
Name of licensing program managerSee Moua
The inspector’s account

On 11/25/25, Licensing Program Analyst (LPA) M. Yang arrived to conduct an unannounced complaint investigation and met with Nursing Home Administrator Jasdeep Dhariwal who stated Administrator Benjamin Carter is unavailable to attend meeting.

During the course of the investigation, LPA toured the facility, reviewed records, and conducted interviews. R1 and R2 are Diabetes with doctor’s order for insulin medication. R1 and R2 have no restricted health condition care plan for Diabetes health condition. R3 is receiving hospice care with no current hospice care plan on file.

Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction