Zannat Boarding Care

Type of visit: Required - 1 Year

On 07/23/26 at 3:30PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with staff (S1) and spoke to administrator (ADM) on the phone who authorized S1 to act on her behalf and sign the reports. LPA explained the purpose of the visit with ADM and S1. LPA observed ADM has a current administrator certificate# 7017893740 which expires 12/13/2026. At 4PM, LPA toured the facility including but not limited to the front entrance, screening station, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, clients and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizer were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs, paper, medications locked in cabinets. Comfortable temperature is maintained at 78 deg F. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Two fire extinguishers were observed fully charged and purchased on 04/17/26. LPA reviewed 2 staff and 4 resident files. Updated copies of the following documents were obtained from administrator:  LIC500 - Personnel Report  LIC9020 - Resident Roster  LIC308 - Designation of Facility Responsibility  LIC610E - Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 23, 2026

Allegation investigated: Staff are utilizing an object to lock facility door from inside.

On 10/21/25 at 4PM, Licensing Program Analyst (LPA) D Panlilio conducted a complaint visit, gathered information and delivered investigation finding to administrator (ADM). LPA explained the purpose of the visit with ADM. Allegation: Staff are utilizing an object to lock facility door from inside Finding: Substantiated During investigation, LPA interviewed reporting party (RP), facility staff (S1) and toured the facility. On 10/21/25 at 4:10PM, LPA observed S1 securing the front door bolt and handle with a plastic insert lock stopper. S1 stated they have a resident who always wants to leave the facility, so they use the plastic insert lock stopper to prevent her from exiting the facility. Continued on next page, LIC9099-C Substantiated Based on interviews and observations which were conducted, the preponderance of evidence standard has been met and the above allegation(s) that staff are utilizing an object to lock facility door from the inside is substantiated. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 21, 2025 · control 15-AS-20251016181905

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Nov 7, 2025

To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night... This requirement was not met as evidenced by staff using a plastic lock over the front door bolt and handle to prevent residents from leaving the facility which pose a potential health & safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 21, 2025

Plan of correction: By POC due date, ADM agrees to complete and submit to CCLD in-service staff retraining on residents' personal rights in compliance with Section 87468.1(a)(6).

Type of visit: Required - 1 Year

On 07/22/25 at 1PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with staff (S1) and spoke to administrator (ADM) on the phone who authorized S1 to act on her behalf and sign the reports. LPA explained the purpose of the visit with ADM and S1. LPA observed ADM has a current administrator certificate# 7017893740 which expires 12/13/2026. LPA toured the facility including but not limited to the front entrance, screening station, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, clients and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizer were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs, paper, medications locked in cabinets. Comfortable temperature is maintained at 77 deg F. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguisher was observed fully charged and purchased on 04/09/25. Updated copies of the following documents were obtained from administrator:  LIC500 - Personnel Report  LIC9020 - Resident Roster  LIC308 - Designation of Facility Responsibility  LIC610E - Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Updated copies of the following documents were obtained for facility files:  LIC500- Personnel Report  Client Roster  LIC 308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Surety Bond Exit interview conducted, appeal rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 22, 2025

Type of visit: Required - 1 Year

On 05/16/24 at 11AM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with administrator (ADM) and explained the purpose of the visit. ADM has current administrator certificate# 6050535740 which expires on 05/20/24. LPA toured the facility including but not limited to the front entrance, screening station, hand washing stations, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizer were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs, paper, medications locked in storage cabinets. Comfortable temperature is maintained at 79 deg F. Hot water temperature was measured at 114 deg F. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Fire extinguisher was observed fully charged and last inspected on 04/18/24. Smoke and Carbon monoxide detectors were operational. LPA reviewed 4 staff and 5 resident files. LPA also conducted 2 staff and 2 resident interviews during visit. Updated copies of the following documents were obtained from administrator:  LIC500- Personnel Report  Resident Roster  LIC308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 16, 2024