Sweetwater Senior Care

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Case Management - Deficiencies

On this day , Licensing Program Analyst (LPA) Edward Kim conducted a case management deficiency visit unrelated to a complaint investigation (Complaint# 22-AS-20250506140457). During record review of R1, LPA observed photos and records stating that R1 had an unstageable wound on the left hip, deep tissue injury on the sacrum, and a closed stage two wound on the right hip. At this time prior to being admitted to the hospital, R1 did not have home health or hospice care. Deficiencies were cited during the inspection visit according the California Code of Regulations Title 22 Division 6 Chapter 8. An exit interview was conducted, and a copy of this report and the appeal rights were provided to Caregiver Santi Markithe state’s words, verbatim · CDSS document, Sep 17, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a) · Plan of correction due date: Sep 18, 2026

87615(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above. R1 sustained a stage three pressure injury to the sacrum. This posed an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: Licensee stated they will conduct trainings for all staff on to prevent and handle any residents with stage 3 and stage 4 for pressure injuries and how to respond. Licensee will send proof of correction by providing a schedule of trainings to CCLD via email to edward.kim@dss.ca,gov by POC due date September 18, 2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Santi Marki. Administrator (AD) Saleem Moosani arrived at approximately 9:10 a.m. and the purpose of the inspection was discussed. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home, consisting of four resident bedrooms, one staff bedroom, two bathrooms, and attached three-car garage. All resident bedrooms had the required furnishings. LPA observed all residents’ beds had linens and blankets. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested at 118.7 degrees Fahrenheit. LPA observed the backyard has a shaded sitting area and an in-ground swimming pool. Pool was observed to be enclosed by mesh fencing, however, fencing was observed to be tattered. Per AD, the mesh fencing door to enter into the pool area is also broken and no longer opens. The facility has a two day supply of perishables and a seven day supply of non-perishable food. Smoke detectors and carbon monoxide detectors tested operational. Gas stove, microwave, laundry washer and dryer were all observed to be operable. Medication was observed to be centrally stored, however, cabinet in which medication is stored does not have a lock and per AD, they do not lock medication. LPA reviewed four of six resident files and two staff files. Four of four resident files did not include a re-appraisal and AD stated they were unaware a re-appraisal for residents was required. (Cont. LIC809-C) Upon record review, LPA observed facility is currently using outdated Emergency and Disaster Plan form LIC610E (10/03) and was advised it is best practice to use revised LIC610E (12/21). Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Sep 17, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Sep 18, 2026

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees... This requirement is not met as evidenced by: Based on observation and AD interview, the Licensee did not comply with the section cited above as cabinet in which medication is stored does not have a lock and per AD, they do not lock medication, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: AD stated they will have a lock placed on the cabinet in which medication is stored and provide a written plan of action ensuring medication is locked and inaccessible at all times and proof provided to LPA via email by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87463(a) · Plan of correction due date: Sep 18, 2026

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first... This requirement is not met as evidenced by: Based on record review and AD interview, the Licensee did not comply with the section cited above in four of four resident files and per AD, they were unaware a re-appraisal for residents was required, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: AD stated they will complete re-appraisals for all facility residents and a copy will be provided to LPA via email by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Oct 16, 2026

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidenced by: Based on observation and AD interview, the Licensee did not comply with the section cited above as mesh fencing enclosing pool was observed to be tattered and AD stated fencing door is broken and no longer opens, which poses a potential safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: AD will ensure mesh fencing and door are in good repair and provide proof to LPA via email by POC date.

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Required - 1 Year

On August 29, 2025, at 8:45 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrator (ADMIN) Saleem Moosani and explained the purpose of the visit. The facility is licensed to operate for four (4) ambulatory residents and two (2) non-ambulatory residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) Staff bedroom, two (2) bathrooms, living area, family area, dining area, kitchen, attached 3-car garage, swimming pool, and an outside covered patio area. LPA Kim toured indoor and outdoor of the physical plant with ADMIN Moosani. There are no obstructions on premises. There is a swimming pool located in the backyard that is enclosed with a fence which makes it inaccessible for the residents. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 116.7 degrees F and 119.3 degrees F. A comfortable temperature of 75 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. Evaluation Report Continues on LIC 809-C The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food and emergency water is stored in the kitchen pantry. A working telephone (714-660-9268) remains available. First Aid Kit contained all the necessary elements. During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA conducted an audit of resident files (R1-R6), staff files (S1-S8) and medication and medication administration review. S1 did not have background clearance. S2 and S3 were missing health screening and first aid training. S4 and S5 were missing training hours for 2025. LPA Kim conducted 1 staff interview and 3 resident interviews. LPA Kim observed R1 and R2 had full bed rails and were not on hospice. Deficiencies were cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6 Chapter 8). S1 did not have background clearance for the facility. S2's and S3's health screening and first aid training were not in their files. S4 and S5 were missing training hours for 2025. LPA Kim observed R1 and R2 had full bed rails and were not on hospice. A civil penalty was assessed for S1 not having background clearance. An exit interview was conducted, and a copy of this report, LIC811, LIC421BG, and the appeal rights were provided to Administrator Saleem Moosanithe state’s words, verbatim · CDSS document, Aug 29, 2025

Type of visit: Case Management - Deficiencies

On May 7, 2025, Licensing Program Analyst (LPA) Edward Kim conducted a case management deficiency visit unrelated to a complaint investigation (Complaint# 22-AS-20250506140457). LPA observed the following deficiency: S1 was working from May 1, 2025 to May 7, 2025, without association to the facility. A deficiency was cited during the inspection visit according the California Code of Regulations Title 22 Division 6 Chapter 8. A civil penalty was assessed at this visit. An exit interview was conducted, and a copy of this report, LIC811, and the appeal rights were provided to Administrator Saleem Moosani.the state’s words, verbatim · CDSS document, May 7, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(c) · Plan of correction due date: May 8, 2025

87355(c) A licensee or applicant ... may request a transfer of a criminal record clearance from one state licensed facility to another... by providing the following documents to the Department. This requirement was not met as evidence by: Based on observation, interview, and record review, S1 worked at the facility from May 1, 2025, to May 7, 2025, and was not associated to the facility. This poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 7, 2025

Plan of correction: Licensee states they will send proof of S1 being associated prior to returning to work and acknowledgement of understanding to CCLD via email to Edward.kim@dss.ca.gov by POC due date May 8, 2025.

Type of visit: Case Management - Annual Continuation

LIC 809 was amended due to technical issue a technical assistance was issued in error. On August 21, 2024, at 12:30pm Licensing Program Analyst (LPA) Edward Kim arrived to complete the required 1-year annual visit that was started on August 15, 2024. LPA Kim was greeted and granted entry by Assistant Administrator (AA) Hashim Moosani. During the visit, LPA Kim conducted a full audit of all staff files, resident files, all resident medications, 1 resident interview, and 2 staff interviews. Deficiencies were cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6, Chapter 8). A Civil Penalty was assessed. An exit interview was conducted, and a copy of this report and appeal rights were provided to Assistant Administrator Hashim Moosani.the state’s words, verbatim · CDSS document, Aug 21, 2024

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On August 15, 2024, at 8:00am, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Assistant Administrator (AA) Hashim Moosani and explained the purpose of the visit. The facility is licensed to operate for four (4) ambulatory residents and two (2) non-ambulatory residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) Staff bedroom, two (2) bathrooms, living room, family area, dining room, kitchen, attached 3-car garage, swimming pool, and an outside covered patio area. LPA Kim toured indoor and outdoor of the physical plant with AA Moosani. There are no obstructions on premises. There is a swimming pool located in the backyard that is enclosed with a fence which makes it inaccessible for the residents. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, and Staff Room 1 Bathrooms were found to be clean. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly Emergency food and emergency water is stored in the kitchen pantry. A working telephone (714-660-9268) remains available. First Aid Kit contained all the necessary elements. During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Evaluation Report Continues on LIC 809-C This page was amended due to technological error not having the Assistant Administrator Hashim Moosani digital signature. AA Moosani signed digitally but the final recorded original did not print with the signature. Due to time constraint a continuation of this inspection will be conducted at a later date. LPA Kim will: 1) conduct record review for staff and residents, 2) Conduct interviews with staff and residents, 3) conduct a medication review at a later date and 4) review fire/safety drill log. Deficiencies were cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6 Chapter 8). An exit interview was conducted and a copy of this report and the appeal rights were provided to Assistant Administrator Hashim Moosanithe state’s words, verbatim · CDSS document, Aug 15, 2024