Facility Evaluation Report

On 08/28/2025, Regional Manager (RM), Stephenie Doub and Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. RM Doub and LPA Pascua were greeted by Facility Designated Administrator (FDA), Ravjir Sandhu and explained the purpose of the visit. The purpose of the visit was to conduct an annual visit.

Current census was 41. A brief interview with FDA Sandhu was conducted.

This facility is licensed to served residents who are 60 and over with a capacity of 73. 73 of 73 residents may be deemed non-ambulatory. 10 of 73 may be bedridden. This facility also has a hospice waiver for 16 residents. It was learned that there were a total of 11 residents on hospice.

LPA reviewed 5 resident files and 5 staff files. It was observed that 5 out 5 resident files did not have an updated Needs and Services Plan. It was observed that 1 out 5 staff did not have an First Aid/CPR on file. 1 out of 5 staff did have First Aid however CPR was not on file. 1 out 5 staff files did not have the mandated reporter statement signed and 1 out 5 staff files did not have their application on file. The Facility Designated Administrator has an active certificate #6069560740 and expires on 11/20/2026. LPA reviewed that fire drill log and is in compliance at this time.

A tour of the facility was conducted with FDA Sandhu.

This facility has a main building in which has 4 separate wings, Napa, Central Valley, Yosemite and Carmel. Currently, there are no residents residing in Carmel. A separate building, Monterey was also observed and toured. LPA observed a small kitchenette that is equipped with microwave and an addition refrigerator present to cool, heat, and warm up food of the residents if necessary.