Facility Evaluation Report

Licensing Program Analyst (LPA) Talwinder Bains arrived on 10/20/25 to conduct the annual inspection. LPA met with staff and explained the purpose of today's visit. Administrator, Sangeetha Vipulanada and House Lead, Brittany McCoy came after short while and assisted LPA with today's visit. All six residents were present during today's visit.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed medications of two (2) residents comparing with physician orders . LPA reviewed three (3) residents files and two (2) staff files.

LPA and staff toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Hot water temperature was observed to be 111 degrees F, which is within the regulation range of 105-120 degree.

LPA requested a copy of the LIC308, LIC 500, LIC610E and current liability insurance to be sent to the Department by 10/31/25.

Deficiencies were observed and cited per Title 22, CCR Regulations as listed on LIC 809-D. Civil penalties shall be assessed if facility does not comply with POC requirements which were issued today. Exit interview conducted. Copy of this report and appeal rights were provided.