Ecolux Assisted Living

Type of visit: Case Management - Incident

On 09/02/2026 at 12:30PM, Licensing Program Analysts (LPAs) T. Syess-Gibson and L. Hall arrived unannounced to conduct Case Management Inspection in regard to incident report. LPA met with Clerazel "Hazel" Pike, Caregiver and explained the reason for the visit. Bharat Verma “Brad”, Administrator arrived at 1:55PM. Based on the incident report received, resident (R1) AWOL/eloped and was found outside of the facility by hospice agency nurse and was brought back into the facility. During visit, LPA reviewed R1's file including physician's report, care notes, nightly supervision log, day observation notes, identification emergency information, physician’s report dated 12/02/2024, and appraisal needs and service plan. LPAs also obtained R2, R3, R4, R5, and R6 identification emergency information, physician’s report, and hospice care plans. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Sep 12, 2026

(a)The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months….. This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not updating R1’s appraisal as frequently as necessary or once every 12 months which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: Licensee agreed to implement a plan and send plan to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.269(a)(6) · Plan of correction due date: Sep 12, 2026

(a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidence by: Based on interview, licensee did not comply with the section cited above due to resident AWOL which poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: Licensee agreed to conducted staff training on AWOL/elopement and will provide training material and staff sign in sheet to CCLD by POC date.

Type of visit: Case Management - Other

On 8/28/2026 at 3:00pm Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Bharat "Brad" Verma, Administrator and explained the purpose of the visit. While LPA L. Hall was conducting a complaint investigation 15-AS-20260826093606 on 8/28/2026, LPA observed the following deficiencies: At 12:35pm, LPA observed an additional lock on front door that staff have to open to allow entrance and exit. (LPA have picture) At 12:47pm, LPA laundry room unlocked, detergent , oxi-clean, and fabric softener sitting on counter in laundry room. *An immediate civil penalty of $500.00 will be assessed on today's date for lock on front door* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (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. A copy of the appeal rights, LIC421M, and this report provided.the state’s words, verbatim · CDSS document, Aug 28, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Aug 29, 2026

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidence by: Based on observation and interviews the Licensee did not comply with the section cited above in having front door readily available to exit at all times. Additional lock was placed on door, which poses an immediated safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: Administrator agreed to remove lock and submit photos to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Sep 4, 2026

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services... for the safety and well-being of residents... This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in having the laundry room that contained accessible detergent, fabric softener, and oxi-clean, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: Administrator changed locked during visit. Deficiency cleared during visit.

Type of visit: Required - 1 Year

On 07/15/2026 at 10:30AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Clearzel Pike, caregiver and explained the purpose of the visit. Clerazel contacted the administrator via phone. Administrator, Bharat Verma arrived at approximately 11:57AM. The Administrator currently holds a certificate #7038089740 that expires on 05/08/2028. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility has six (6) bedrooms and three (3) bathrooms. LPA observed bed in closet for staff. LPA observed tent in garage with bed for staff to take breaks. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature is maintained at 69 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. Hot water temperature in the shared clients’ bathroom was measured at 118.2 degrees Fahrenheit. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 07/14/2026. Emergency Disaster Plan was last reviewed and posted on 07/09/2026. Fire drill was last conducted on 07/01/2026. First aid kit was observed to be complete. Continue on LIC809C Continued from LIC809 LPA review four (4) staff records and all six (6) residents’ records, three (3) out of six (6) residents were missing appraisal needs and service plans. LPA requested the following documents to be submitted to CCLD by 07/15/2025. LIC9020 Resident Roster LIC 308 Designation of Administrative Responsibility Liability insurance. LIC 500 Personnel Report(updated) LIC 610E Emergency Disaster Plan. Updated Facility Sketch LPA observed the following deficiencies: At 11:03AM, LPA observed facility’s laundry room doorknob is in disrepair At 11:00AM, LPA observed facility’s PUB 475 was not 20” x 26” At 12:56PM, LPA observed three (3) out of six (6) residents were missing signed appraisal needs and service plans. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (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 to Bharat Verma.the state’s words, verbatim · CDSS document, Jul 15, 2026

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

On 07/02/2026 at 1:48PM Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a Case Management visit. LPA met with Caregiver, Clerazel Pike, Caregiver and explained the purpose of visit. While LPA T. Syess-Gibson was conducting a complaint investigation (15-AS-20260629160058) on 07/02/2026. During tour of facility LPA observed facility has a lock on refrigerator in kitchen and duo doorknobs on facility’s entry door that has to be turned at the same time in order to leave the facility. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Jul 11, 2026

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from..... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a lock on the refrigerator, which poses as a personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2026

Plan of correction: By POC date.Licensee will implement a plan and send to plan via email to CCL

From the deficiency page — Deficiency type: Type B · Section cited: CCR87468.1(a)(6) · Plan of correction due date: Jul 11, 2026

87468.1 Personal Rights of (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility .......This requirement is not met as evidenced by: Based on interview and observation, the licensee did not comply with the section cited above by having a duo doorknobs, which poses as a personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2026

Plan of correction: By POC date.Licensee will implement a plan and send to plan via email to CCL

Type of visit: Case Management - Other

On 07/15/2025 at 10:45AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced case management visit to amended report originally dated 07/08/2025. LPA met with Caregiver Theresa Patang. Administrator, Bharat Verma arrived at 11:15AM. During visit, LPA requested original reports that were given to facility on 07/08/2025. Exit interview conducted. A copy of this report is provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Case Management - Annual Continuation

*This is an amended report from visit on 07/08/2025** On 07/15/2025, LPA arrived unannounced to conduct a case management visit. LPA met with Administrator, Bharat Verma advised the purpose of visit. LPA issued the deficiencies under the correct regulation codes. On 07/08/2025 at 11:00AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Berthgeline Corpuz, caregiver and explained the purpose of the visit. Berthgeline contacted the administrator via phone. Administrator, Bharat Verma arrived at approximately 12:26PM. The Administrator currently holds a certificate #6072069740 that expires on 05/08/2026. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility has six (6) bedrooms and three (3) bathrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature is maintained at 78 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. Hot water temperature in the shared clients’ bathroom was measured at 117.1 degrees Fahrenheit. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 06/12/2024. Emergency Disaster Plan was last posted on 07/08/2025. First aid kit was observed to be complete. Continue on LIC809C Continued from LIC809. LPA attempted to review three (3) staff records, one (1) out of three (3) were present at the facility and complete. LPA reviewed three (3) resident records which were complete. LPA observed the following deficiencies: At 11:18AM, LPA observed Medication (Terazosin and Daily Vite multivitamins) on table near computer in common area near the table residents were sitting eating breakfast At 11:27AM, LPA observed two (2) out of the three (3) individuals inside facility during visit, were not fingerprint cleared and associated with the facility per guardian At 11:53AM, LPA observed an unlocked kitchen cabinet with Simple Green all-purpose cleaner, Cascade platinum plus dishwasher pods, Fabuloso, Insect and Pest Control spray, Hydrogen Peroxide Topical Solution and Lysol Power Cleaner Concentrated multi-surface cleaner At 11:59AM, LPA observed unlocked prescribed medication Nystop POW 100,000mg on stand near residents’ bed At 12:00PM, LPA observed resident in bedroom with oxygen equipment near bed At 12:08PM, LPA observed alterations between the linen closet and the master bedroom closet (expansion). At 12:10PM, LPA observed unlocked laundry room with Tide Simply all in one laundry detergent Continue on LIC809C Continued from LIC809C At 12:12PM, LPA observed an unlocked cabinet in shared restroom with Seventh Generation toilet bowl cleaner, Lysol disinfecting wipes and Clorox multi-surface cleaner At 12:21PM, LPA observed a large black tent in garage with a complete bed with pillows, sheets and blankets, a foldaway bed, clothing hanging on a rack, bags and a Victoria super soft blanket in a clear carrying bag. At 3:48PM, LPA observed during file review one (1) out of three (3) staff records were present at the facility and complete LPA requested the following documents to be submitted to CCLD by 07/15/2025. LIC9020 Resident Roster LIC 308 Designation of Administrative Responsibility Liability insurance. LIC 500 Personnel Report(updated) LIC 610E Emergency Disaster Plan. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate civil penalty of $200.00 will be assessed on today's date* ($100.00 x 2 for each person’s presence in the facility and not fingerprint cleared) Exit interview conducted. A copy of the appeal rights, LIC421BG, and this report providedthe state’s words, verbatim · CDSS document, Jul 15, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Jul 15, 2025

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a complete bed with pillows, sheets, blankets, a foldaway bed, clothing hanging on a rack , bags and a Victoria super soft blanket in a clear carrying bag located in the garage under a big black tent which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2025

Plan of correction: Administrator agreed to submit a LIC200 or send proof of no longer being used by sending CCLD a photo of cleared garage by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87305(b) · Plan of correction due date: Jul 15, 2025

(b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in notifying CCLD of proposed alterations which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2025

Plan of correction: Administrator agreed to submit an updated facility sktech, photo of alterations, and a formal letter explaing the purpose of alterations by POC date

Type of visit: Required - 1 Year

*This is an amended report from visit on 07/08/2024-LPA issued correct deficiencies on LIC809 Annual Continuance Report dated 07/15/2025 On 07/08/2025 at 11:00AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Berthgeline Corpuz, caregiver and explained the purpose of the visit. Berthgeline contacted the administrator via phone. Administrator, Bharat Verma arrived at approximately 12:26PM. The Administrator currently holds a certificate #6072069740 that expires on 05/08/2026. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility has six (6) bedrooms and three (3) bathrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature is maintained at 78 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. Hot water temperature in the shared clients’ bathroom was measured at 117.1 degrees Fahrenheit. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 06/12/2024. Emergency Disaster Plan was last posted on 07/08/2025. First aid kit was observed to be complete. Continue on LIC809C Continued from LIC809. LPA attempted to review three (3) staff records, one (1) out of three (3) were present at the facility and complete. LPA reviewed three (3) resident records which were complete. LPA observed the following deficiencies: At 11:18AM, LPA observed Medication (Terazosin and Daily Vite multivitamins) on table near computer in common area near the table residents were sitting eating breakfast At 11:27AM, LPA observed two (2) out of the three (3) individuals inside facility during visit, were not fingerprint cleared and associated with the facility per guardian At 11:53AM, LPA observed an unlocked kitchen cabinet with Simple Green all-purpose cleaner, Cascade platinum plus dishwasher pods, Fabuloso, Insect and Pest Control spray, Hydrogen Peroxide Topical Solution and Lysol Power Cleaner Concentrated multi-surface cleaner At 11:59AM, LPA observed unlocked prescribed medication Nystop POW 100,000mg on stand near residents’ bed At 12:00PM, LPA observed resident in bedroom with oxygen equipment near bed At 12:08PM, LPA observed alterations between the linen closet and the master bedroom closet (expansion). At 12:10PM, LPA observed unlocked laundry room with Tide Simply all in one laundry detergent Continue on LIC809C Continued from LIC809C At 12:12PM, LPA observed an unlocked cabinet in shared restroom with Seventh Generation toilet bowl cleaner, Lysol disinfecting wipes and Clorox multi-surface cleaner At 12:21PM, LPA observed a large black tent in garage with a complete bed with pillows, sheets and blankets, a foldaway bed, clothing hanging on a rack, bags and a Victoria super soft blanket in a clear carrying bag. At 3:48PM, LPA observed during file review one (1) out of three (3) staff records were present at the facility and complete LPA requested the following documents to be submitted to CCLD by 07/15/2025. LIC9020 Resident Roster LIC 308 Designation of Administrative Responsibility Liability insurance. LIC 500 Personnel Report(updated) LIC 610E Emergency Disaster Plan. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate civil penalty of $200.00 will be assessed on today's date* ($100.00 x 2 for each person’s presence in the facility and not fingerprint cleared) Exit interview conducted. A copy of the appeal rights, LIC421BG, and this report providedthe state’s words, verbatim · CDSS document, Jul 8, 2025

Type of visit: Post Licensing

On 12/03/2024 at 10:30AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a post licensing inspection. LPA met with caregiver, Mylyn Rios who contacted the Administrator Bharat Verma via telephone. LPA advised Administrator the purpose of visit. Administrator gave authorization for Mylyn to sign the report. Upon entry, LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. Facility has a 2-day supply of perishable and 7-day non-perishable food supplies. Hot water temperature was measured at 116.6 degrees F in residents’ shared bathroom. A comfortable temperature maintained at 69 degrees F for residents in care. Grab bars and non-skid materials were observed in the residents’ bathrooms. Extra linens and towels were observed in the hallway closet. Carbon monoxide and smoke detector were observed. There are no bodies of water observed. Medications were centrally stored and lock in a cabinet. Fire extinguisher was observed to be full. At 11:12AM, LPA observed unlocked WD-40 multi use product under kitchen cabinet. At 11:19AM, LPA observed expired food in pantry located in the kitchen. At 11:57PM, LPA observed during file review S3 was not associated to facility. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided to Mylyn Rios.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Prelicensing

On 07/22/2024 at 11:15AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection continuation from 07/11/2024. LPA met with Bharat Verma, Licensee/Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for six (6) non ambulatory residents. Component III conducted with Bharat Verma, Administrator on 07/22/2024. Prior deficiencies noted on 07/11/2024 were corrected on 07/18/2024. LPA observed the facility is ready to be licensed. This report will be submitted to the central application unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required The applicant was reminded of the statute that requires CCLD to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, or by fax.. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 22, 2024

Type of visit: Case Management - Other

On 07/22/2024 at 12:00PM, Licensing Program Analyst (LPA), T.Syess-Gibson arrived to conduct an announced continuation Pre-Licensing Inspection. LPA met with Bharat Verma,, Licensee/Administrator, and explained the purpose of the visit. LPA presented Component III power point during visit and discussed the regulations embodied in the power point. LPA observed the participant gained knowledge about running and maintaining the facility in accordance with regulations. A license has not yet been granted to this facility. Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept consumers until notified by Community Care Licensing that the license has been approved. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 22, 2024

Type of visit: Prelicensing

On 07/11/2024 at 11:00am, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. LPA met with Bharat Verma, Licensee/Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for six (6) non ambulatory residents. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a six (6) bedrooms and three (3) bathrooms. There is sufficient lighting around the facility. LPA observed two (2) out of the six (6) residents bedrooms are equipped with the proper furniture, bedding, and lighting. LPA observed Bathrooms showers/tubs were not equipped with installed grab bars. LPA did observe non skid mats in bathrooms shower/tubs. Passageways and hallways are free of obstruction. LPA observed no television in the common area. Administrator showed LPA proof of purchase with a delivery date of 07/18/2024. LPA did not observed locked cabinets to store medications and sharps. Hot water temperature is measured at 112.1 degrees Fahrenheit in shared residents' bathroom. A comfortable temperature was observed at 77 degrees. Fire extinguisher was last purchased on 06/12/2024. Continue LIC809C continued from LIC809 LPA did not observe a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Smoke detectors and carbon monoxide were in operating condition during visit. Issues were noted during inspection. LPA observed that facility is not ready to be licensed. Prior to licensure, the following shall be corrected by 07/18/2024 LPA observed not all bedrooms were equipped with the proper furniture, bedding, and lighting LPA observed bathrooms showers didn't have Installed grab bars LPA observed that there wasn't 7-day of non-perishables and 2-day of perishable foods LPA observed there wasn't a locked cabinets to store medications and sharps LPA observed no television in the common area Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Jul 11, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: BHARAT VERMA Interview Method: Telephone interview On June 20, 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, Jun 20, 2024