Facility Evaluation Report

On 9/22/25 Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Shahla Mirzaee. Staff Vinod Karpal arrived later in the visit on behalf of Administrator Sonya Karpal.

During the visit, LPA noted that no staff members were associated to the facility. Further review of system actions revealed that the Licensee had personally removed five (5) staff members from the staff association list on 6/16/25 -- including themselves, and three (3) others were not previously associated to the facility. LPA verified that all staff members on the facility roster, including those present during LPA's visit, had eligible background clearances.

One type A Deficiency was cited during the visit per California Code of Regulations, Title 22, Division 6 on the attached LIC 809-D. In addition, a Civil Penalty is being assessed for Zero Tolerance Violations regarding Criminal Record Clearances and are noted on the attached LIC 421BG form in the combined amount of $4,000.00.

An exit interview was conducted with Staff Vinod Karpal to whom a copy of this report, the LIC 421BG, and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.