Routine inspection·February 27, 2026

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff S1 Esha Dhiman. During the visit, LPA observed 6 residents and 2 staff. LPA explained the purpose of the visit. S1 contacted facility Administrator Amritpal Kaur Powar. ADM stated had a prior appointment and stated S1 can assist LPA with the annual inspection. LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected. While touring the backyard, LPA observed several dozen cigarette buds on the ground, adjacent to bedroom #4 and the family room exit to the back yard. LPA also observed a fallen tree foliage on the backyard ground as well. LPA noted additional tree foliage on the side of the home, adjacent to bedrooms 2 & 3. While touring the hallway bathroom adjacent to bedroom #3, LPA observed a container of lysol toilet cleaner in the cabinet below the sink. LPA also observed the shower in bedroom #3 had a stained non slip bath mat and the lower sections of the shower had grime, that was slightly orange in color. LPA also observed the air extractor in the hall way bathroom had lint. LPA toured the facility garage. Note the laundry area and garage do were not locked. During the visit, residents were using the garage/laundry area as a exit. While touring the garage, LPA observed the following items, accessible: Sevin insect Killer and lighter fuel. Page 1 Out of 3. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area as locked and inaccessible to residents in care. Room temperature was at 72 degrees F, and hot water temperature was measured at 112 degrees F in resident bathrooms. While touring the kitchen area, LPA requested to see the knives storage area. LPA observed it was locked, but noted if you pull the cabinet, it creates an opening, with enough room to stick a hand inside the knife storage area. While touring the area between room 1 and Room 2, LPA observed cabinets. LPA observed the cabinet had a lock. LPA engaged the unlocking button mechanism, and the lock, unlocked. Inside the cabinet was a container of cleaning powder detergent. Fire extinguisher was serviced in April 17, 2025. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by staff, and were functional. LPA observed facility first aid kit. LPA requested to review the facility emergency drill log. LPA was not provided documentation showing drills have taken place. LPA reviewed facility records for 3 staff. LPA requested to review staff S1's health screening. S1 stated he/she did not have it and was going to get one. LPA requested to review staff S1-S3's training records. LPA was provided a sheet with 1 training, for April 1, regarding medication training, for staff S1 and S2. LPA reviewed 6 resident records. Resident R4's physician's report dated June 6, 2025 states, this resident is at risk if allowed direct access to personal grooming and hygiene items. During a review of residents files 4 (R1, R2, R5, R6) Out of 6 residents are under the age of 60. The facility has a census of 6 and the facility did not request an exception request for the residents who are under the age of 60 years. LPA also noted R3 did not have a personal property log. R5 had a personal property log that was blank. (Note, LPA was informed by S1 that R5 had just purchased new electronic products.) R6 has a personal property log from his/her previous form, but does not have one for this facility, dated from his/her move in. Page 2 Out of 3. LPA reviewed 3 resident medications and centrally stored medication records. Staff S1 stated they did not have a centrally stored medication record for R2's medications. R3 had medications that were also not listed on the centrally stored medication record. while reviewing R2's medications, S1 informed LPA that the facility has Tums and Tylenol medications that they use for all the residents in the home. LPA asked S1 if all the residents have a prescription for the Tums and tylenol. S1 stated the facility does not have a prescription. While reviewing R2's and R6's medications, LPA observe both medication containers had several loose medications not inside their original container. During the course of this annual inspection, LPA took photographic evidence documenting the deficiencies that were observed. Deficiencies are being cited during today's visit, see LIC809-D. This report was reviewed with Administrator Amritpal Kaur Powar and a copy of the signed report was provided. Appeal rights were provided. Page 3 Out of 3. END OF REPORT.