Loving Care Facility for the Elderly

Type of visit: Required - 1 Year

On May 4, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee (LI) Vijay Kanase was notified via telephone and later arrived to assist with the inspection. LPA observed that Vijay Kanase has a valid Administrator certificate which expires on May 1, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one can be bedridden, and has a hospice waiver for four. The facility is a single story home with four resident bedrooms, two of which are shared, three resident bathrooms, a living room, a dining room, a kitchen, a laundry room, and an attached two car garage. LPA, accompanied by the LI, conducted a tour of the interior portion of the facility. On today's visit, LPA observed five residents in care and three staff present. LPA observed residents relaxing in their respective bedrooms and in the common areas. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and they were observed to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds had clean linens and blankets. LPA inspected the three resident bathrooms and observed them to be free of hazards. Resident bathrooms were equipped with grab bars and non-skid floors. Faucets and toilets were operational. Hot water temperature measured between 107.4 to 108.1 degrees Fahrenheit. LPA observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. The four burner gas stove lights unassisted. CONTINUED ON LIC809-C LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed a fire extinguisher to be mounted on the wall by the kitchen and it was observed to be charged and up to date on service. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on April 6, 2026. LPA observed the centrally stored medication to be kept in a locked cabinet located in the kitchen. LPA observed the facility has a first aid kit stored in the kitchen and it has all the required components. LPA observed the door leading to the laundry room to be kept locked and inaccessible to residents in care. LPA observed chemicals and toxins to be stored in the locked laundry room. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA observed additional linens for residents to be stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the LI, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all five resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication administration records. LPA reviewed three staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited. An exit interview was conducted with Licensee Vijay Kanase and a copy of the report was provided at time of visit.the state’s words, verbatim · CDSS document, May 4, 2026

Type of visit: Case Management - Deficiencies

On May 20, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management Deficiencies visit. LPA was greeted and granted entry into the facility by caregiving staff after explaining the purpose for today's visit. Administrator (AD) Vijay Kanase was notified via telephone but could not arrive to assist with today's inspection. On the annual inspection conducted on May 9, 2025, the hot water temperature in resident bathrooms measured between 123.6 to 123.8 degrees Fahrenheit. On today's visit, LPA tested the hot water temperature in client bathrooms which measured 109.5 to 110.1 degrees Fahrenheit. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. The previous citation was cleared at time of visit. An exit interview was conducted with an authorized facility representative and a copy of the report was provided.the state’s words, verbatim · CDSS document, May 20, 2025

Type of visit: Required - 1 Year

On May 8, 2025 at 1:45 PM, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Vijay Kanase was notified via telephone and later arrived to assist with the inspection. LPA observed that Administrator Vijay Kanase submitted a Administrator renewal application to the Administrator Certification Bureau (ACB) on April 14, 2025. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one can be bedridden, and has a hospice waiver for four. The facility is a single story home with four resident bedrooms, two of which are shared, three resident bathrooms, a living rooms, a dining room, a kitchen, a laundry room, and an attached two car garage. LPA, accompanied by the AD conducted a tour of the interior portion of the facility. On today's visit, LPA observed four residents in care and three staff present. LPA observed residents relaxing in their respective bedrooms and in common areas. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and they were observed to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds had clean linens and blankets. LPA inspected the three resident bathrooms and observed them to be free of hazards. Resident bathrooms were equipped with grab bars and non-skid floors. Faucets and toilets were operational. Hot water temperature measured between 123.6 to 123.8 degrees Fahrenheit. CONTINUED ON 809-C LPA observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. The four burner gas stove lights unassisted. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed a Fire Extinguishers to be mounted by the kitchen and it was observed to be charged and serviced as of January 21, 2025. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on May 2, 2025. LPA observed the centrally stored medication to be kept in a locked cabinet in the kitchen. LPA observed the facility has a First Aid Kit stored in a kitchen cabinet and it has all the required components. LPA observed the door leading to the laundry room to be kept locked and inaccessible to residents in care. LPA observed chemicals and toxins to be stored in the locked laundry room. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA observed additional linens to be stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates on the west side and east side of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all four resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication records. LPA reviewed five staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, one deficiency is being cited on the attached 809-D. An exit interview was conducted with Administrator Vijay Kanase. A copy of the report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management Incident inspection. The inspection is being conducted to follow up on an incident report that was received by the Orange County Regional Office (OCRO) on 4/8/25 regarding a family providing unauthorized medication to Resident #1. LPA was greeted and granted entry into the facility by Administrator (AD) Vijay Kanase after explaining the purpose for the visit. During today's visit, LPA, accompanied by the AD conducted a tour of the interior and exterior portions of the facility. LPA conducted a health and safety check for the five residents in care. Residents appeared clean and in good health. LPA observed residents relaxing in their respective bedrooms and in common areas during time of visit. LPA reviewed Resident #1 file including his Pre-placement Appraisal, Reappraisal, Physician's report, Medication Administration Record, Incident Reports, Progress Notes, Admission Agreement, and the facility's Plan of Operation. LPA conducted an interview with the AD, the staff that was present during the incident, and attempted to interview Resident #1. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Vijay Kanase and a copy of the report was provided.the state’s words, verbatim · CDSS document, Apr 25, 2025

Type of visit: Case Management - Annual Continuation

On May 31, 2024, at 1:03pm Licensing Program Analyst (LPA) Edward Kim arrived to complete the required 1-Year annual visit that was started May 23, 2024. LPA Kim was greeted and granted entry by staff, and explained the purpose of the visit. Administrator Vijay Kanase arrived at 1:46pm to join the visit. During the visit, LPA Kim conducted an audit of staff files #4-#5, resident files #1-#3, all resident medications, three (3) resident interview, and four (4) staff interviews. The first aid kit was reviewed and contained all the required items. Deficiency was 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 was provided Administrator Vijay Kanase.the state’s words, verbatim · CDSS document, May 30, 2024

Type of visit: Required - 1 Year

On May 23, 2024 at 2:05PM, 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 was greeted and granted entry with Administrator (AD) Vijay Kanase and explained the purpose of the visit. The facility is licensed to operate for five (5) non-ambulatory of which one (1) may be bedridden, and Hospice waiver for four (4) 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, three (3) bathrooms, living room, dining room, kitchen, and outside covered patio area. LPA Kim toured indoor and outdoor of the physical plant with AD Kanase. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’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 within Title 22 regulations and were clean and operational. The water temperature measured at 107.0 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 clients. 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. The facility has one (1) fire extinguisher that is charged and mounted in the kitchen. The fire extinguisher was serviced on January 8, 2024, The facility has smoke detectors and carbon monoxide detector that were operable. The facility conducted a Fire/Safety Drill on March 5, 2024. A working telephone (657-354-7340) remains available. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices. LPA Kim observed screening protocols for visitors, staff, and clients, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. Administrator Certificate for Vijay Kanase is valid until May 1, 2025. LPA Kim conducted an audit of residents #4-6 service files, and staff #1-4 personnel files were in order and completed. Due to time constraint a continuation of this inspection will be conducted at a later date. LPA will conduct record review for residents #1-#3, medication review, bed rail hospice care plan for residents #4-#6, resident interviews, staff interviews, and complete first aid kit check at a later date. An exit interview was conducted, and a copy of this report was provided to Administrator Vijay Kanase.the state’s words, verbatim · CDSS document, May 23, 2024