Tree of Life Care Home

Allegation investigated: Staff do not ensure resident is provided pain medication as needed. Staff mishandled residents medications.

On 9/18/2026 Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Licensee Alia Rajpootand explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and record review. For the allegation, staff do not ensure resident is provided pain medication as needed. During staff interviews three out of three staff stated that all residents receive their medication, including as needed medication. During resident interviews, three out of the three residents were unable to collaborate on allegation. During record review, LPA observed R1 primary physician had discharged all as needed medication. Unsubstantiated For the allegation, staff mishandled resident medication. During staff interviews three out of three stated that resident’s medication is not being mishandled. Staff also indicated medication is dispensed by physician orders. During resident interviews, three out of the three residents were unable to collaborate on the allegation. During record review, LPA observed medication to be dispensed and document properly. Based on the evidence found during the investigation, the two allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Licensee Alia Rajpoot.the state’s words, verbatim · CDSS document, Sep 18, 2026 · control 56-AS-20260910123804

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff Patty Gallegos and was granted entry to the facility. Licensed capacity is (6) current census (2). LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated space for resident /staff files. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (2) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (2) resident medications LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Bilal Rajpoot.the state’s words, verbatim · CDSS document, Apr 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Bilal Rajpoot and was granted entry to the facility. Licensed capacity is (6) current census (0). LPA was accompanied by Administrator Bilal Rajpoot to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a space for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Record Review: At the moment, the facility does not have residents. The Administrator stated they have a pending application for the Assisted Living Wavier. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Bilal Rajpoot.the state’s words, verbatim · CDSS document, Mar 14, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Ryan Gardner conducted an announced visit to complete the Pre-licensing inspection. LPA met with Administrator Bilal Rajpoot for a Residential Care Facility for the Elderly (RCFE) for six (6) non-ambulatory residents, one (1) resident may be bedridden. The fire clearance was approved by the fire department on 1/23/2024. The facility has four (4) bedrooms and three (3) bathrooms. There are three (3) resident bedrooms, one (1) staff bedroom, a kitchen, a living room, two (2) dining areas, a laundry room, a backyard, and an attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected: Resident Bedrooms: All bedrooms have the required bedding and furniture, such as clean mattresses/linens, mattress covers, nightstands, dressers, chairs, and lighting. Resident Bathrooms: The bathrooms appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, the thermometer read at 113.7 degrees F. Kitchen and Dining Areas: Utensils and dishware are in good repair and ready for resident use. The kitchen appliances and countertops were free of debris and in good repair. The refrigerator was measured at 40 degrees F and the freezer was measured at 0 degrees F. The sharps were locked in the kitchen cabinet. Medication: The medications will be locked in the kitchen cabinet. Common Sitting Areas/Activities: There is adequate seating in the common areas for the residents. The facility has a supply of activities for the residents. Laundry Room/Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies were available for each resident. The laundry room contains chemicals that were locked underneath the sink. Backyard: There are no bodies of water in the backyard. There is a covered area with seating for the all the residents. All passageways were free from obstruction. Fire extinguisher, carbon monoxide, firearms: There are two (2) charged fire extinguishers in the facility. LPA observed operating smoke detectors and carbon monoxide alarms. The home does not have any firearms and or ammunition. Postings: LPA observed required postings including the visitation polices, emergency/disaster plans, complaint procedures, labor laws, and personal rights. First aid and working telephone: The facility is equipped with a complete first aid kit and manual. The facility has a working telephone for resident use. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA has determined that the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete, and the facility has no deficiencies. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations. The required Comp III presentation was completed. An exit interview was conducted, and this report was discussed and provided to Administrator Bilal Rajpoot.the state’s words, verbatim · CDSS document, Mar 7, 2024

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Bilal Rajpoot, Babar Mahmud Interview Method: Telephone interview On February 07, 2024, 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 the understanding of the California Code Title 22 Regulations. 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. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Feb 7, 2024