The Tree Home for Seniors

Type of visit: Required - 1 Year

On 06/16/2026 at 2:00 PM, Licensing Program Analyst (LPA) L. Hall conducted an unannounced required annual inspection. LPA met with Administrator Vikram Sharma and explained the purpose of the visit. The Administrator currently holds a certificate (#7023266740) that expires on 9/14/2026. The facility’s fire clearance was approved for five (5) non-ambulatory and 1 bedridden resident. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) total bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. No bodies of water observed. A comfortable temperature is maintained at 74 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 90.1 degrees F. (facility had finished laundry). Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors/ carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/07/2025. Emergency Disaster Plan was last reviewed on 05/15/2026. First aid kit was observed to be complete. Fire drill was last conducted on 04/08/2026. Continued on LIC809. Continued from LIC809. Three (3) staff records and all six (6) resident records were reviewed, current, and complete. LPA requested the following documents to be submitted to CCLD by 06/23/2026. LIC 308 Designation of Administrative Responsibility LIC 610E Emergency Disaster Plan (last page) Liability Insurance A copy of the administrator certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 16, 2026

Type of visit: Required - 1 Year

On 05/21/2025 at 2:00 PM, Licensing Program Analysts (LPAs) Y. Brown and L. Hall conducted an unannounced required annual inspection. LPAs met with Administrator Vikram Sharma and explained the purpose of the visit. The Administrator currently holds a certificate (#7023266740) that expires on 9/14/2026. The facility’s fire clearance was approved for five (5) non-ambulatory and 1 bedridden resident. LPAs toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) total bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. No bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors/ carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/08/2024. Emergency Disaster Plan was last reviewed on 05/05/2025. First aid kit was observed to be complete. Fire drill was last conducted on 02/11/2025. Continued on LIC809. Continued from LIC809. Five (5) staff records were reviewed, current, and complete. All six (6) resident records were reviewed and complete. LPA requested the following documents to be submitted to CCLD by 05/28/2025. LIC 308 Designation of Administrative Responsibility LIC 610E Emergency Disaster Plan (last page) 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 21, 2025

Type of visit: Required - 1 Year

On 6/15/2024 at 1:25pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year Required inspection. LPA met with Caregiver, Melchor Deang. Administrator Vikram Sharma, arrived at 1:50pm, and LPA explained the purpose of the visit. The Administrator currently holds a certificate (#6057150740) that expires on 9/14/2024. The facility’s fire clearance was approved for five (5) non-ambulatory and 1 bedridden resident. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) total bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors/ carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/9/2023. Emergency Disaster Plan was last posted on 2/12/2024. First aid kit was observed to be complete. Fire drill was last conducted on 4/18/2024. Continued on LIC809. Continued from LIC809. Four (4) staff records were reviewed, current, and complete. All five (5) resident records were reviewed and complete. LPA requested the following documents to be submitted to CCLD by 6/24/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (last page) Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 15, 2024