Facility Evaluation Report

On 11/24/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a post licensing visit. LPA was greeted by Facility Designated Administrator (FDA), Aamir Khan and explained the purpose of the visit. The purpose of the visit is to conduct a post licensing visit.

Current census of this facility is 4. All residents were in their respective bedroom at the time of the visit.

This facility will hold 4 ambulatory residents. This facility also accepts and retains Level 6 residents from Valley Mountain Regional Center.

A brief interview with FDA Khan was conducted. There was one other staff member on site, Saqib Khan.

LPA Pascua reviewed 4 staff files. All staff files were missing the LIC501. LPA Pascua advised that facility must keep the LIC501 on file. All staff have completed Health Screening, TB testing, and have been background cleared. The Facility Designated Administrator also has an active administrator certificate #6069300735 and expires on 04/10/2026.

A tour of the facility was initiated with FDA Khan.

This facility holds a medication cabinet located near the dining area. Along with FDA, LPA reviewed and compared medication logs to medication on site. This facility obtains monthly bubble packs through their contracted pharmacy.

One fire extinguisher was placed in the living room and was was purchased with a receipt attached on 11/24/2025.. Smoke detectors and carbon monoxide detectors were located throughout the facility and were observed to be functional and in compliance at this time.

All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time.