Pre-licensing visit·January 22, 2026

Licensing Program Analyst (LPA) Mosley conducted a pre-licensing visit to the above listed facility. The LPA met with applicant, Dr. Rashita Aggarwal , and Administrative staff Manju Natarajan and Marisol Flamenco . This is a new facility A Hospice Waiver has been approved for six (6) residents. The facility is single story house located in a residential neighborhood with an attached garage. At 9:03 a.m. a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for six (6) non-ambulatory residents in bedrooms 1-6. The facility's bedridden capacity is approved for one (1) resident. Bedrooms 1,2,3,4 and 6 are approved for a single bedridden resident. The facility has six (6) private resident bedrooms, and one (1) office. Bedrooms 1,2,3,4, and 6 have direct exits to the facility. All resident bedrooms are set up with beds, nightstands, lamps, chests of drawers, chairs, and closet space. The beds are furnished with box springs, comfortable mattress, and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. There are three (3) total bathrooms of which two (2) are private resident bathrooms, and one (1) shared /common resident bathroom. The resident bathroom(s) have a shower with slip resistant surface / mat / materials. The toilets and showers have grab bars. Bedrooms 1 and 5 have a private bathroom. The hot water temperature was tested in all bathrooms and the kitchen and was found to be within the range of 105*F and 120*F degrees Fahrenheit . The supply of extra bed and bath linens is adequate. Report Continued on LIC 809-C PAGE 2 ... (PAGE 2) Report Continued from LIC 809-C... Resident and staff records are stored in the locked main entry closet, located at the entrance adjacent to the living room. Medications will also be centrally stored in this locked closet. Medications requiring refrigeration will be kept in a locked box inside the main refrigerator. The first aid supplies were complete, including a thermometer and a current version of the first aid manual. These supplies are stored in the main entry closet along with the records and medications. Kitchen knives are stored in a locked cabinet in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, laundry and house cleaning supplies are stored in a locked cabinet located in the garage /laundry area . No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There are televisions and other entertainment equipment, games and/or activity supplies in the living room and dining area . There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to non-private bathrooms. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. There is a fireplace in the living room. It is screened and there are no tools. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have central air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The facility smoke alarm system is hard wired. The smoke detectors, fire door and carbon monoxide detectors were tested at 9:58 a.m. and functioned properly during the time of visit. There is one (1) fire extinguisher located in the dining room adjacent to the kitchen that was fully charged and purchased on 01/14/2026 and does not exceed the expiration date. Report Continued on LIC 809-C PAGE 3 ... (PAGE 3) Report Continued from LIC 809-C PAGE 2... The garage is accessible from the house and the entry way is adjacent to the kitchen, and bedroom 1. The laundry area includes a washer and dryer is located in the garage. The garage has two (2) storage rooms, used for storage only. Garage rooms shall not be used for sleeping rooms . Personal hygiene items (shampoos, soaps) were adequate and are stored in the locked garage. Extra incontinence supplies, and personal protection equipment (PPE) are stored in garage. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in the dining room and in each room. The emergency telephone numbers are posted in the dining room. Other required postings are posted throughout the facility including bedroom hallways and dining room. The exterior passageways were clean and clear of any obstructions. In the back of the house there is a retractable awning for shade, patio area including tables and chairs where residents can sit. The entire property is fenced. The back and sides of the house are separated from the front yard by gates at the north and south side passageways. There are no other structures on the property. During today’s visit COMP III orientation was completed with applicant, Dr. Rashita Aggarwal, and Administrative staff Manju Natarajan and Marisol Flamenco. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. No citations issued during the pre-licensing visit. Exit interview conducted. Copy of the report was reviewed and provided.