The Meadows

Allegation investigated: Facility staff did not ensure to provide a safe environment for residents in care.

At approximately 10:00 a.m. on 09/10/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit. To investigate the allegation above, LPA toured the facility inside and out at 10:10 a.m., interviewed the administrator, three (03) staff, and five (05) out of six (06) residents between 10:15 a.m. and 3:30 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 4:00 p.m. Regarding the allegation "Facility staff did not ensure to provide a safe environment for residents in care" it was alleged Resident #1 (R1) was verbally and physically abused by Resident #2 (R2). Telephonic interview with R1 at 3:30 p.m. today revealed they were not verbally or physically abused by R2. R1 and R2 had a disagreement, and R1 admitted to hitting R2. Interview with R2 confirmed they had a Unsubstantiated disagreement, and R1 hit R2 twice, but lightly. R2 did not have any pain from the incident. Neither R1 nor R2 suffered injuries. Interview with Staff #1 (S1) at 2:30 p.m. today revealed R1 and R2 had a misunderstanding which resulted in R1 hitting R2. Staff separated the two and de-escalated R1. Interview with Staff #2 (S2) at 1:55 p.m. today confirmed that during and after the incident, all residents were okay. Interviews with five (05) out of six (06) residents interviewed revealed they felt the facility was safe. Interviews with the administrator at 10:15 a.m. and the licensee at 11:15 a.m. today revealed R2 did not suffer any bruising or injury, and all residents have been provided with a safe environment. LPA observed the facility to be a safe environment today. Record review did not reveal any pertinent information to the investigation. Based on interviews and record review, it was concluded that although the allegation may have occurred, there is no measurable and verifiable information to confirm validity of the complaint. Hence the allegation is UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 10, 2026 · control 31-AS-20260909094934

Type of visit: Prelicensing

At 9:00 a.m. on 01/30/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an announced prelicensing inspection. LPA met with applicants Ukarjit Kaur and Celena Sherman and disclosed the reason for the visit. Today’s prelicensing inspection is an initial application with no residents in care. The facility is a single story building with three (03) bedrooms, two (02) bathrooms, kitchen, garage, common areas, and outdoor areas. The facility has an approved fire clearance for six (06) non-ambulatory residents, of which one (01) may be bedridden in Bedroom #3. The facility intends to serve residents with dementia. Four (04) our of four (04) auditory alarms were on and functional during the visit. The front yard was maintained and free of hazards. A secure ramp led to the main entrance. Once inside, LPA observed postings for personal rights, theft and loss policy, facility sketch, emergency disaster plan, administrator certificate, theft and loss policy, staff list, sample menu, and confidential complaint contacts. At 9:10 a.m., LPA and applicants reviewed Component III. Walls, floors, windows, and screens were clean and in good repair. At 9:50 a.m. LPA measured the room temperature to be 71.4 degrees Fahrenheit. Activities, art supplies, puzzles, and furniture in good repair were available in the living room. A fireplace was adequately covered. A complete first-aid kit and emergency flashlights were present in the living room. A hallway closet contained hygiene supplies and an adequate supply of fresh linens. An office area had a chair, desk, and locked filing cabinet for confidential files. The facility has two (02) bathrooms. The southern bathroom was designated for residents. It contained liquid soap, paper towels, a trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 10:15 a.m. LPA measured the water temperature in the resident bathroom to be 105.6 degrees Fahrenheit. The facility has three (03) bedrooms. All bedrooms are shared bedrooms and contained a chair, lighting, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. At 10:30 a.m. the smoke and carbon monoxide detectors were tested and deemed operational. Smoke detectors were hard-wired and operated simultaneously when tested. Two (02) out of two (02) fire doors also closed appropriately when tested. LPA observed an adequate supply of perishable and non-perishable foods in the refrigerator, freezer, and cabinets. The stove hood was clean. Appliances were in good condition. Sharps and cleaning solutions were locked below the sink. Medications were locked in a kitchen cabinet. The garage was locked and contained an operable washing machine and dryer and additional hygiene supplies and tools. Outdoor areas were maintained and contained fruit-bearing trees. The patio contained furniture in good condition with adequate shade. Ramps leading out were secure. Two (02) out of two (02) emergency exit paths were free from obstructions. Emergency exits were unlocked. At approximately 11:10 a.m., LPA observed a fire extinguisher near the kitchen. It was last inspected on 10/14/25 and had a tag attached. The fire extinguisher was not fully charged. At 11:30 a.m., the house telephone was called but not operational. Applicants ordered necessary services between 12:30 p.m. and 3:45 p.m. At 3:50 p.m., the fire extinguisher was observed to be fully charged with a tag attached from 01/30/26. At 3:55 p.m., LPA called the house phone and deemed it to be operational. Pre-Licensing is complete and this facility has no deficiencies. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Licensee/Administrator, Celena Sherman Interview Method: Virtual interview (Teams) On 12/4/2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 4, 2025