Facility Evaluation Report

On 04/21/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with the Administrator. LPA met staff Fely Reyes. Licensee/ Administrator (L1) Amardeep “Amy” Dhillon was called and arrived shortly. LPA toured facility with L1. Five residents were present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Sharps observed locked under kitchen counter. Fire extinguisher was observed with serviced date of: 03/06/25. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature observed maintained at 40 degrees F and freezer temperature maintained at 0 degrees F. Medications were observed locked under kitchen and laundry shelves. MARs were reviewed and medications were checked. Chemicals were observed locked in laundry shelves. All bedrooms were observed to have the required furnishings and with adequate lightening. Extra linens were observed. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 106.2 and 106.7 degrees F in shared master bathroom and at 106.3 degrees F in bathroom. Outside of facility toured and observed to be free of debris. Side gate observed self-closing. Adequate outdoor seatings available for residents. Sample of staff and all of the residents’ files were reviewed and observed to have the required documents. Carbon monoxide and smoke detector tested operational during inspection.

A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6.Exit Interview conducted. The requested documents are to be submitted to the department by 04/28/25: Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.