Pre-licensing visit·December 8, 2025

Licensing Program Analyst (LPA) Christi Coppoi arrived unannounced to conduct a Pre-Licensing Inspection and met with Applicant, Rajesh Kalra. LPA and applicant initiated a tour of the facility at approximately 9:30am and made the following observations: Facility is a one story residence with twenty-two (22) single resident bedrooms, each resident room has its own private shower, some rooms have a tub/shower combo. Each bath/shower has grab bars and pull cord present. LPA and applicant discussed adding non-skid strips or mats to each bath. Facility will use SafelyYou, a fall detection and prevention technology for Memory Care communities. Each resident room therefore has a SafelyYou camera in the corner of the room, bathrooms excluded. Applicant advised LPA that disclosure of SafelyYou will be included in each resident's Admission Agreement. At this time, facility will also utilize SafelyYou in common areas. LPA advised that if video cameras are used in common areas the audio must be disabled as audio is not allowed. All camera surveillance must disclosed. Passageways were free from obstruction. All resident rooms were furnished with a small armoire wardrobe. LPA discussed regulation 87307(a)(3) and ensuring that if the resident does not provide their own items listed in 87307(a)(3) then the facility must provide it for them. Water temperature in tested bathrooms read at 105.9 degrees F in room #201 and 105.8 in room #108 which are both within the allowable range of 105 to 120 degrees F. Facility has sufficient items used for cooking. Non-perishable foods were present; per applicant, as residents move-in facility will stock perishable food. Facility has an industrial kitchen with a locking door such that it only opens with a code. Kitchen has temperature regulated freezer and two (2) refrigerators. LPA and applicant discussed regulation 87309(a)(1) requiring that disinfectants and cleaning solutions must be stored separately from food. LPA and Continued on 809C... Continued from 809... applicant discussed storing those cleaning products needed in the kitchen under or next to the eye wash station, housed in a closing cabinet or drawer. Facility has a kitchen area located in the common area (the "country kitchen") that will have snacks and beverages freely accessible to residents in care. Facility received an approved fire clearance dated November 5,2025 that allows for 27 non-ambulatory residents. LPA discussed with applicant that facility does not have bedridden fire clearance. LPA discussed with Admin the definition of bedridden per Health and Safety Code Section 1569.72(b)(1)…'bedridden' means either requiring assistance in turning and repositioning in bed, or being unable to independently transfer to and from bed being such that a resident cannot reposition themselves on their own. LPA discussed notification requirements of facility for the retention of bedridden residents per regulation 87606. Fire extinguishers were last serviced October 21, 2025. Smoke/Carbon monoxide detectors and sprinklers are hardwired and serviced by a vendor; last date of service was November 7, 2025. Facility has lighting in hallways, lighting has dimming feature that will remain on at all times. LPA advised should hallway lighting turn off, night lights will need to be implemented, per regulation 87307(d)(5). LPA confirmed that contents of the facility's First Aid Kit were sufficient, facility will purchase tweezers, and that facility has emergency lighting in case of a power outage via back up generator. Facility also has supply of flashlights. Emergency food and water supplies are stored in the industrial kitchen. LPA advised facility must maintain emergency water and food for each resident, enough for at least 72 hours per Health and Safety Code 1569.695. Before residents are admitted, facility will ensure 72 hour emergency food and water supply are on hand. Facility has three egress doors: entrance door, outdoor exit on left side of facility, and outdoor exit on right side of facility, LPA observed egress to sound appropriately. Facility has large area for outdoor activities. Outdoor areas free from obstruction. LPA discussed with applicant regulation 87219(h)(2) requiring an outdoor shaded area. Applicant showed LPA proof of purgola purchase at pre-licensing visit. LPA observed required postings including the CCL Complaint Poster, Long Term Care Ombudsman Poster, Resident's Rights, and the rights to Resident and Family Councils. Continued on 809(C(2)... Continued from 809C... Medications will be secured in a locked cabinet in the Wellness room. LPA and applicant discussed adding a lock to the Wellness room door. LPA advised Applicant to sign up for the Guardian and Provider Information Notices (PINs) that the Department sends out. Component III review conducted with applicant. LPA reviewed with applicant Health and Safety Code 1569.625 as well as 1569.69 in depth and printed for applicant. LPA discussed using approved vendor for training and the choice to conduct training on their own using materials that are current within the decade. LPA advised that using an approved vendor is not required but if they choose to conduct their own training documentation of said training must include: date, hour of duration, subject matter, instructor, and staff name/initials. No physical plant corrections required. LPA will submit facility's application for approval. Exit interview conducted with applicant. No deficiencies cited during this inspection