Facility Evaluation Report

**Due to computer technical issues, a paper 809 and Administrator/Licensee signature is on file**

At approximately 09:45 am, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by Licensee/Administrator Manjit "Goldie" Minhas

Facility is a Residential Care Facility for the Elderly (RCFE) licensed for 6 residents with five (4) residents in care. Facility has a Hospice waiver for Three (3), with 1 hospice residents currently in care, and is approved for six (6) non-ambulatory residents.

At approximately 10:15 am, LPA initiated a tour of the facility with licensee and observed the following: Facility is a one story home with front of the house views of the hills, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 03/2025 and were observed to be fully charged . Water temperatures measured between 105F and 120F per title 22 Regulations LPAs observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked.

LPA observed at least a 2-day supply and variety of healthy perishable foods, 7-day supply of non-perishable food, and emergency water supplies. In addition, a variety of snacks and fruits were observed to be set out for residents. Food was found to be stored in a safe manner with open items covered.