Temple Park Living

Type of visit: Required - 1 Year

On 6/30/2026, Licensing Program Analyst (LPA) Mia Lankford conducted an unannounced required annual inspection at the facility and met with Licensee Heather Ramirez. Buildings and Grounds: The facility is composed of six (6) residents bedrooms, three (3) bathrooms, a living room and a kitchen area. Water temperature was measured at 115.1 F. The interior and exterior walkways of the facility were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were in working order. There is a no pool and there are no weapons stored in the facility. Client bedrooms are fully furnished, and privacy is available. Outdoor areas have sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The facility has a working phone witnessed by calling the phone number. Storage and Supplies: Medications, residents and staff files are stored in a locked cabinet in the kitchen area, inaccessible to any unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies are stored in the laundry room. Linens and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of June 20, 2027. Continued 809-C... Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives are stored in a locked cabinets in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: Personal Rights, Complaint information, Emergency disaster plan, the facility sketch. LPA verified the Administrator's Certification, with an expiration date of January-12-28, and CPR certification with the expiration date of May 20, 2028. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. . An exit interview was conducted, and this report was discussed and a copy was provided to Licensee Heather Ramirez.the state’s words, verbatim · CDSS document, Jun 30, 2026

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Ivashia Wright conducted a case management visit to check on the health, safety, and well-being of the residents in care. LPA met with Nikiti Bonovich, caregiver, who was informed of the purpose of the visit. LPA toured the facility and observed all facility utilities to be on and operating without issues. The food supply meets the 7-day non-perishables, and 2-day perishables regulatory requirement. LPA did not observe any health and safety concerns for the residents in care. No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted with Nikiti Bonovich where a copy of this report was discussed and provided.the state’s words, verbatim · CDSS document, Apr 10, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an announced pre-licensing inspection at the facility and met with Licensee Mohammad Rahman. Application: The inspection is a Change of ownership (CHOW) for a Residential Care Facility for Elderly (RCFE). The Murrieta Fire Department approved a fire clearance on 01-14-2025 for five (5) non-ambulatory clients and one(1) bedridden in room 1. Buildings and Grounds: The facility is composed of six (6) residents bedrooms, three (3) bathrooms, a living room and a kitchen area. Water temperature was measured at 115.1 F. The interior and exterior walkways of the facility were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were in working order. There is a no pool and there are no weapons stored in the facility. Client bedrooms are fully furnished, and privacy is available. Outdoor areas have sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The facility has a working phone witnessed by calling the phone number. Storage and Supplies: Medications, residents and staff files will be stored in a locked cabinet in the kitchen area, inaccessible to any unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies will be stored in the laundry room. Linens and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of June 12th, 2026. Continued 809-C... Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives will be stored in a locked cabinets in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: Personal Rights, Complaint information, Emergency disaster plan, the facility sketch. LPA verified the Administrator's Certification, with an expiration date of January-11-27, and CPR certification with the expiration date of February-05-27. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. The applicant completed Comp III on June 10, 2025. LPA determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete and has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and a copy was provided Licensee Mohammad Rahman.the state’s words, verbatim · CDSS document, Jun 13, 2025

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Ruzedana Rahman, Administrator Mohammad Rahman, Applicant Interview Method: COMPONENT II Waived On December 24, 2024, applicant(s)/administrator participated in COMP II for the below pending facilities: Temple Heights—33188557 requesting to waive Temple Park Living—331881556 requesting to waive Temple Court—331881561 COMP II on 12/24/2024 and licensed on 5/23/2025. Temple Gardens –331881558 COMP II on 12/24/2024 and licensed 5/23/2025 Identification of the applicant(s) and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) 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 and 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, May 29, 2025