Routine inspection·March 12, 2026

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 8am. LPA met with Administrator Designee (AD) Khatera Bahadory at 9:15am and explained the purpose of the visit. AD shared with LPA that AD recently purchased the facility in February 2026 and the facility will be undergoing a Change of Ownership. The facility is a five bedroom, three bathroom residence with a fire clearance for six non-ambulatory residents in which one may be bedridden in bedroom #2. The facility has a hospice waiver for six residents. Currently there are five residents in care and four were receiving hospice services. LPA toured the kitchen and observed sharps, knives and chemicals/ cleaning supplies were stored beneath the kitchen sink and were secured. The refrigerator/freezer had more than two-days of perishables, fresh fruits and vegetables were observed, and there was seven-days of non-perishable supplies. LPA observed pantry and there were no items that were expired. The kitchen appliances were in working order. The facility temperature was 70 degrees Fahrenheit, was clean and odorless. During the tour LPA observed resident bedrooms which had the required furnishings. Bed rail orders were on file. LPA tested the hot water temperatures in two of two resident bathrooms. The hot water temperature ranged from 113.3 to 113.5 degrees Fahrenheit. Bathrooms had grab bars and non-skid mats and covered trash bins. Carbon monoxide and smoke detectors were inspected and were operational. The fire extinguisher was charged and inspected on March 25, 2025. The last fire drill was conducted on February 3, 2026. A Technical Violation was provided for documentation not in the file. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the exterior of the property and observed a shaded seating area. An Additional Dwelling Unit (ADU) also is on the property lot with a separate address. The ADU is a licensed facility , A Place Like Home 8, RCFE #306006750. There were no hazards or obstruction of pathway and there were two exterior self latching gates. Audible alarms were in working order and are activated at night. The PUB 475 poster was posted in the hallway with facility theft and loss policy, Emergency Disaster Plan, Client rosters and visiting hours. LPA provided AD with fees payment information which AD will pay. LPA observed medication storage and reviewed the centrally stored medications. Per review medications a re being given as prescribed. LPA observed the First Aid Kit and the facility has a First Aid Manual. LPA reviewed three of three staff training and fingerprint record s and conducted a complete review of resident records. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on December 14, 2027. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Khatera Bahadory, Administrator Designee and a copy of the report, LIC 9102-TV and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.