Annai House

Type of visit: Case Management - Annual Continuation

Staff schedule shows that there are an average of 9 staff on the schedule on a daily basis. Some individual residents require complete assistance with all of the daily living. This was not cited on this inspection, but is cited on the Case Management for 7/7/26. LPAs reviewed medications and medication binders for residents and found that there were no errors. LPA reviewed the pest control service being provided. Facility was made aware that all restrooms must provide paper towels. Plan of Operation was not available for review at the facility. Facility has a portion of the staff and resident files on a computerized system and limited documents can be seen on a tablet. Laundry services include two sets of washer/dryers. All resident rooms were observed to have clean linens. First Aid kit was observed and found to be adequate. LPAs requested Licensee to submit the following documents by 07/28/2026: LIC308, LIC500, updated LIC9020, Proof of Liability Insurance, Surety Bond, LIC610E, Infection Control Plan.the state’s words, verbatim · CDSS document, Jul 7, 2026

The state marks this report as 12 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Daiquiri Boyd and LPA Anna Porter made an unannounced visit to the facility and discussed an incident reported to Licensing on 7/3/26 with Care Coordinator Luijean De Castro. On June 29, 2026 staff (S1) Anjali Hooda accompanied three residents to a medical appointment. An interview with S1 revealed that during the appointment, resident (R1) asked to use the restroom. S1 was with a total of 3 residents, one was independent. R1 asked to go to the restroom and one of the doctor's office staff took R1 outside of the building to the bathroom. After 5-10 minutes, S1 went to look for R1 and realized that they were not in the restroom and saw R1 running away down the street and S1 called to R1 but R1 did not respond. Review of R1 file shows a prior history of elopement and that R1 is not to leave the facility unsupervised. Citation is being issued today for 87464(f)(1) Basic Services.the state’s words, verbatim · CDSS document, Jul 7, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Jul 8, 2026

Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by Resident had a prior history of elopment and a LIC602A stating that the resident is unable to leave the facility unsupervised. Staff allowed resident to go outside of the doctors office alone, to the bathroom, from which she eloped and was not found for 3 days, when residents mother called facility from the hospital where resident was admitted, which poses an immediate risk to the health, safety, or personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Jul 7, 2026

Plan of correction: Facility shall review policy and procudures for taking residents off site. Facility to ensure that there is enough staff available to provide care and supervision of all residents. A written statement shall be submitted to licensing by 07/09/26 stating the policy regarding supervision of residents.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd and Anna Porter made an unannounced visit to the facility and was greeted by staff, who called Care Coordinator, Julijean De Castro to meet with LPAs and complete this inspection. During this visit, LPA observed resident bedrooms with dressers, closets, and beds. Some of the resident rooms have a private half bathroom. LPA observed bathrooms with hot water measuring between 96 to 125 degrees F. Resident hygiene supplies were properly stored and locked and available in a storage room inside of another room referred to as the Piano Room as well as in another hall closet. The kitchen was toured observed in good repair with necessary items and appliances and sharps/knives were properly stored. LPA observed that refrigerator, was kept at a 35.2 degrees F, maintained and clean. LPA observed a 2 day perishable food supply. The kitchen pantry was clean, organized, and had 7 days of non-perishable food. No expired food was observed. Medications are centrally stored and locked in a room off of the office. Facility has designated visitation areas available inside and out. Medications were not yet checked on this day. Doors and passageways are unobstructed throughout the facility including outdoors. Perimeter fence is maintained locked. Fire Extinguishers are located throughout the facility and were serviced on 7/28/2025. Smoke and Carbon Monoxide detectors are tested annually with Johnson Control Systems, a fire inspection company. Due to time limitations, this inspection will continue on a later date. Citations were issued on this day as a result of staff file review.the state’s words, verbatim · CDSS document, Jul 6, 2026

Type of visit: Prelicensing

On 06/18/2025, Licensing Program Analyst (LPA) Daiquiri Boyd made an scheduled visit to the facility for the purpose of conducting a Pre-Licensing Inspection and Comp III. LPA was greeted by Licensee/Administrator Sundari Susan Kendakur. This facility is approximately 10,000 square feet and surrounded by a 6' tall perimeter iron fence with locked security gates. LPA began the tour by entering through the entrance gate off of the parking lot. There is a Ring doorbell that visitors must ring to be allowed entrance. No one can leave the property without being let out of the facility gate or off grounds except by a number key code, a key card that would scan or a physical key, which the four management staff, Administrators and office staff, kitchen staff, housekeeping staff and maintenance staff all have at least one of. The only staff who don't have a key during the day, is the caregiver staff, who do then receive a key in the evening hours once all of the day workers leave. There are 27 bedrooms, 4 showers that are for common use. There are 8 bedrooms that contain "Jack and Jill" bathrooms. Residents that shower independently use the showers in the room named the "Beauty Shop". Residents who needs assistance with showering, are taken to one of the bathroom areas that have shower chairs. Common living spaces are as follows; dining area, there is a TV room that has four couches and several recliners, there is a piano room which has two couches, a table and a piano. Flooring is intact throughout the facility. (continued on the next page) Smoke detectors are located throughout the facility and the sprinkler system was tested by Clovis FD and found to be working properly. Four Carbon Monoxide detectors found to be in working order. The Fire Extinguisher was serviced on 7/2/24. LPA observed a supply of extra bed linens, towels, and personal hygiene and grooming products. Resident rooms are found to be in good repair and contained required furnishings, and lighting. The resident bathrooms are clean and minor repairs were made on site. The kitchen was observed to have a supply of dishes, plates, utensils and cooking items. Food storage areas are clear and appropriate for food preparation. Cleaning supplies, chemicals, and sharps/knives are locked as required. Appliances were found to be in working order. LPA observed the required food supply. Resident medications will be stored in a designated locking kitchen pantry closet. The First Aid kit contains all required items. Doors and passageways are unobstructed throughout the inside and outside of the facility. Outside of the facility was toured. There is a covered seating area for the use of residents. Required postings are placed on a bulleting board. LPA requested that the Disaster and Emergency Plan be updated with additional details as well as the facility sketch. LPA has concerns regarding the perimeter fence. The fence system is such that a person cannot enter or leave the facility without a person with a "key" to let them in or out. LPA Boyd reviewed the fire clearance and nothing is mentioned regarding delayed egress or the functioning of the outside locked perimeter gates. LPA collect the LIC9020 Client Roster for review. This facility currently has 16 residents over 60 years of age and 13 under 60 years of age. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt.the state’s words, verbatim · CDSS document, Jun 18, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 49 Census (if any clients in care): 31 Interview Method: Telephone interview On 4/25/2025, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. 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. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 25, 2025