Pre-licensing visit·September 18, 2025

On 09/18/2025 Licensing Program Analyst (LPA) Nakagawa conducted a pre-licensing inspection and was greeted by Licensee/Administrator applicant Sukhjinder K. Dhillon and Manjit Padda, House Manager/Caregiver. This pre-licensing inspection is being conducted for an initial licensing. Fire Clearance has been approved for 6 Nonambulatory. LPA conducted a tour and inspection of the indoor and outdoor portions of the facility. There is an apartment which can be accessed from the outside of the facility which is currently being rented, but may be converted to staff apartment; current resident has fingerprint clearance. Facility was found to be clean and comfortable temperature with bedroom doors free from obstruction. Fire extinguisher stored in kitchen area was purchased on 03/22/2025: found to be fully charged. There are (2) carbon monoxide detectors: tested and operational. There are (8) smoke detectors, all of which were found to be in working order. Emergency exits are marked and unobstructed. Exterior doors are armed with auditory alarms. Water was measured 116.0 - 116.2 F in faucets used by clients which falls within regulation between 105 & 120 degrees F. There was an ample supply of linens with appropriate bedding equipped in Resident rooms. There is an additional supply of hygiene, continence and paper products. Hallways are equipped with several night lights for accessibility and resident bedrooms have appropriate furnishings. There is a sufficient amount of dishes and cooking supplies for resident use with sharps and other hazardous items kept secured in designated drawer and under the kitchen sink. Cleaning products and other toxins and chemicals are kept out of resident access and found secured in the garage and laundry room cabinets. LPA observed adequate supply of both perishable and non-perishable food sufficient for (6) residents in care. The facility will be conducting weekly grocery replenishment with consideration to resident preferences and dietary restrictions. A sample menu is also located on the refrigerator and indicates a healthy and balanced set of meals for residents in care. Continued onto LIC809-C (Continued from LIC809...) Medications are centrally stored and secured in locked cabinets located in kitchen with Centrally Stored Medication Records and several other medication related forms on file. Resident specified files including care plans, medical reports and dietary restrictions are located in a designated cabinet in the kitchen. There is also an office area located in the living room with all appropriate staffing records, program operation documentation and emergency disaster information. Licensing form templates pertaining to these sections have also been prepared. The facility will begin hiring direct support staff as needed. The backyard features a well-landscaped yard with seating for resident and visitor outdoor use. Windows, screens and blinds are all found to be in good repair. Emergency evacuation maps and clear exit signs are observed posted at each exit door. A sign in sheet with proper screening devices and protection equipment were observed at the front entrance. The facility and facility operation plan are found to be adequate and tour of the facility completed. Licensee will be sending a copy of the updated liability insurance to CCLD. Component III orientation was conducted with the Licensee/Administrator Applicant and House Manager. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. This report was reviewed with Licensee/applicant and a copy was provided to the Licensee.