Pre-licensing visit·December 30, 2025

On December 30, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an announced pre-licensing visit to the facility and was greeted and granted entry by applicant Harminder Nagra. LPA reviewed the Administrator's Certificate that expires on March 20, 2027. LPA toured the exterior and interior portion of the facility with Harminder Nagra. Facility is a single level structure home and the application has been received for a Residential Care Facility (RCFE). On July 18, 2025, The Orange County Fire Authority granted fire clearance for a capacity of six residents (five of which may be non-ambulatory, one may be bedridden, and a hospice waiver for four). There are a total of seven bedrooms, six are private resident rooms and one is a staff bedroom. There is a garage that is utilized for storage and laundry. There are six residents currently residing at the facility. All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept hazard free. The bathrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in residents' bathrooms were measured between 107 and 112.6 degrees Fahrenheit. Adequate supply of linens are stored in the hallway. LPA observed the PUB475 "See Something, Say Something" poster posted by the front entrance. Emergency disaster plan is posted in the kitchen. Facility met the minimum two days perishable and seven day non-perishable food supplies. Sharp items and knives were locked in the kitchen drawers. Facility had back-up emergency food and water supply located in the garage. Continued on LIC 809-C. Wired smoke and carbon monoxide detectors were tested and operational. All auditory exit alarms were tested and observed to be operational. Fire extinguisher was fully charged, mounted, located in the kitchen and had a purchase date of September 4, 2025. Stove is a four-burner induction stove, and there is an oven, dishwasher, refrigerator and freezer. Washer and dryer are located in the garage. All appliances were operational. Toxins were locked in the garage and underneath the bathroom sink, inaccessible to residents in care. LPA observed that First-Aid kit had all the required components. Medication cabinet was observed in the kitchen. Applicant will keep this locked at all times. No bodies of water was observed in the backyard. There are two self-latching exit gates in the backyard in case of emergencies. The facility has shaded seating areas in the backyard and the premises were free of any hazards. Staff and resident files were observed and kept in a locked cabinet in the kitchen. During the visit, LPA reviewed staff and resident files. LPA also reviewed the medications and medication records. LPA reviewed the Component III presentation with applicant, Harminder Nagra. The facility’s physical plant meets the requirements of Title 22 Regulations. LPA will submit notification to Centralized Applications Bureau (CAB) for final review prior to license being issued. An exit interview was conducted with Harminder Nagra, and a copy of this report was provided with the applicant.