Pre-licensing visit·March 5, 2024

Licensing Program Analyst (LPA) Michelle Echeverria , arrived at Arya Garden Assisted Living , to conduct an announced Pre-Licensing visit for licensure. LPA was greeted by Administrator, Kanwal Imtiaz. LPA introduced self and stated purpose of the visit. LIC200 application was submitted on 11/10/23 for (5) non-ambulatory residents and (1) bedridden resident. Fire Safety Inspection clearance was granted for (5) non-ambulatory residents and (1) bedridden resident on 01/19/24. LPA toured the facility inside and outside and observed the following: Structure: Facility is a one story house with (5) resident bedrooms, (3) resident bathrooms, living room, dining area, kitchen, pantry, laundry room, backyard, and attached garage. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house. Bedrooms: Each resident bedroom accommodates one non-ambulatory resident except for bedroom #1 which accommodates one bedridden and one non-ambulatory residents. Bathrooms: The resident bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives, sharps, detergent and chemicals are stored in locked cabinets/closet. There was a pantry stocked with non-perishable food and perishable food found in the refrigerator. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. Water tested in the bathroom faucet measured at 118 degrees fahrenheit. Laundry room has a functional washer and dryer. Living/Family room: There was a furnished living room with one enclosed fireplace, board games and tv observed. Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies stored in a closet. Yards/Outside: A self-latching handle gate on the left side of the house that leads into the backyard. There are no firearms, ammunition, swimming pool or bodies of water observed. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch, CCL complaint poster, house rules, personal rights, Emergency and Disaster Plan and ombudsman were observed posted in the hallway. General items: The smoke and carbon monoxide detectors were tested and are operable. There was fully charged fire extinguishers observed. Resident/Staff records stored in a locked filing cabinet inside the garage. First Aid kit with required components, and a locked area for medication storage was observed. LPA observed a facility phone and was operational as evidenced by LPA dialing the number. The phone number designated for the facility is 760-488-1538. Pre-Licensing and Component III are complete and facility is ready for licensure. An exit interview was conducted, and this report was discussed and provided to Administrator, Kanwal Imtiaz.