Routine inspection·July 30, 2025

On 07/30/2025 at 10:00AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Administrator Rajwant Kaur Panesar and explained the purpose of the visit. The fire clearance was approved for four (4) ambulatory, one (1) non ambulatory and one (1) bedridden resident. The facility has no residents at this time. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) bedrooms and two (2) bathrooms. four (4) bedrooms for residents, one (1) staff bedroom. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. LPA observed no residents at the facility during the time of visit. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed one room with two beds; the other rooms are empty. The hot water temperature in the resident’s shared bathroom was measured at 110.5 degrees Fahrenheit. Clients’ bathrooms are equipped with grab bars and nonskid mats. Facility does not have 2-day perishable food and one week non-perishable food supply, LPA advised Administrator that once facility has new residents this regulation should be followed. Continued LIC809C. Continued from LIC809 Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 07/11/2025. Emergency Disaster Plan was last posted 06/15/2025. First aid kit was observed to be complete. No fire drill has been conducted; facility doesn't have any residents. Two (2) staff files was reviewed, Administrator advised LPA of last residents moved out in March 2021, no resident’s files were reviewed during visit. The following forms to be updated and submitted to CCLD by 08/06/2025: LIC500- Personnel Report LIC308- Designation of Facility Responsibility LIC610E- Emergency/Disaster Plan including infection control plans Evidence of Liability Insurance Administrator Certificate No Deficiencies cited during visit. Exit interview conducted and a copy of this report provided