Cheema Legacy Care Elk Grove

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Reza Jamaly arrived announced on 8/5/2026 at 1:30 PM and met with Applicant Harminder Singh to conduct a follow up Pre-Licensing Inspection. LPA was allowed entry into the home that will be licensed for a capacity of 6 non-ambulatory residents of which 6 may receive hospice care services. There were 5 residents in care at the time of the inspection, Administrator certificate expires 11/20/2026. LPA inspected the areas where deficiencies were identified by LPA Jamaly and Licensing Program Manager (LPM) Stephen Richardson during previous pre-licensing visit on 7/31/2026 to verify whether the required corrections had been completed. LPA observed 6 consent forms signed by resident's representatives regarding video surveillance and camera usage in common areas of the facility. Administrator stated that consent forms will added to resident's admission agreements and will be acknowledged and signed by resident's as a whole rather then signing a separate consent forms. LPA also inspected the hot water temperature and was measured to be 105.2 F which is within the required range of 105-120* F. LPA Jamaly observed thermometer inside the refrigerator and freezer. Freezer temperature was observed to be -10 and refrigerator temperature was observed to be 40 degree F which are in complaint with Title 22 regulations.The temperature inside the facility measured at 74*F which is within the required range of 68-85*F. Component III was completed at this time with the Applicant. The applicant has passed the pre-licensing component of the application process. LPA Reza will notify the Central Application Bureau (CAB) that the pre-licensing has been completed and passed. An exit interview was conducted, and a copy of this report was provided to the Applicant.the state’s words, verbatim · CDSS document, Aug 5, 2026

Type of visit: Prelicensing

On 07/31/2026 at 1:30 PM ., Licensing Program Analyst (LPA) Reza Jamaly and Licensing Program Manager (LPM) Stephen Richardson arrived announced to conduct a pre-licensing inspection to ensure compliance with Title 22 regulations. LPA and LPM met with administrator Harminder Singh, who assisted throughout today's inspection. The applicant is seeking licensure for six (6) non-ambulatory residents. There were 5 residents in care at the time of the inspection, three residents observed watching TV in the living room. The facility has an approved fire clearance for six (6) non-ambulatory residents. Harminder will serve as the facility Administrator. The Administrator's Certificate # 7025366740 was reviewed and verified as current, with an expiration date of 11/20/2026. The facility's Infection Control Plan has been completed and submitted to Community Care Licensing for review. LPA and LPM conducted a tour of the interior and exterior of the facility. The living room, dining room, and all common areas designated for resident use were clean, adequately furnished, and arranged to meet the needs of future residents. Resident bedrooms were inspected and found to be appropriately furnished with beds, mattresses, dressers, seating, and adequate storage space. Resident Bathrooms were inspected and observed to be clean, sanitary, and equipped with covered trash receptacles. The hot water temperature measured 127°F, which was not within the required range 105 F - 120 F. Temperature inside the facility observed to 74°F at the time of the inspection. The linen closet contained an adequate supply of clean sheets, blankets, pillowcases, towels, and other linens to meet the needs of future residents. The kitchen was inspected and found to be clean, organized, and adequately equipped. Continue on LIC 9099C on page 2 page 2 Cabinets and drawers contained a sufficient supply of dishes, cookware, utensils, and food preparation items. The refrigerator and food storage areas were operational and in good repair. LPA and LPA inspected a refrigerator and freezer located in the kitchen and observed with no thermometer inside. The facility maintained the required minimum supply of two days of perishable food and seven days of nonperishable food. Knives and sharps observed to be locked in a drawer in the kitchen and inaccessible to residents., cleaning supplies, bleach, and other hazardous items were stored in garage and garage door observed to be locked. Safety features were inspected throughout the facility. Smoke detectors and carbon monoxide detectors were observed in the hallways and living room they tested and found to be operational. The fire extinguisher was fully charged, last serviced on 10/10/2026 , and readily accessible. The centrally stored medication located at one of the hallway and observed to be locked and secured. The first aid kit was complete and contained the required supplies. LPA Jamaly also inspected exterior of the facility and no safety concern observed. Electricity, gas and power shut-off was inspected, administrator showed how they can be turned off in case of emergency. LPA and LPA observed a camera installed in entry point of hallway, and asked if its written in Plan of Operation, administrator provided written plan of operation which reads" Cameras in common areas are permitted but must be disclosed to all residents, families and staff at admission" The applicant will work on the following deficiencies observed: Licensee/Administrator will ensure that an updated plan of operation to include cameras in the living area and common area. Plan of operation will also include the purpose of the camera, who can view the camera, how long is the recording and that there is no audio. Licensee/Administrator will also provide a consent form signed by each residents. Continues on LIC 809C on page 3 page 3 Licensee/Administrator will adjust the water heater to make sure that hot water dose not exceed 120 degree F. Licensee/Administrator will put thermometer for both the refrigerator and freezer to make sure freezers and refrigerator temperature is kept based on Title 22 regulation. The Applicant has not passed the pre-licensing component of the application process. The applicant will correct issues note above and inform LPA Reza Jamaly when the corrections have been completed. An exit interview was conducted, and a copy of this report was provided to the applicant.the state’s words, verbatim · CDSS document, Jul 31, 2026