Diya Senior Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Administrator, Bani (Bhupinder) Kaur and stated the purpose of today's visit. LPA Rai observed 2 staff and 4 residents at the facility. During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. LPA Rai toured the facility to include 3 resident rooms, living room, dining room, kitchen and garage. 3 Out of 3 resident bedrooms had available bedding, drawers, and functioning lights. The facility bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom sink was 108.8 degrees F. The facility has a second floor which has 3 staff rooms and 1 bathroom. Fire extinguisher was observed and inspected on 09/23/2025. Facility smoke detectors and carbon monoxide detectors were in working condition. The last disaster drills were conducted on 05/19/2026 and 06/12/2026. LPA Rai observed a complete first aid kit at the facility. LPA Rai reviewed facility records for 2 staff and 2 residents. LPA Rai reviewed resident medications and central stored medication records. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Bani (Bhupinder) Kaur and Administrator gave permission for staff Arlene Esteban to sign today's report. A copy of the report was provided. LIC 858 and LIC 859 were provided.the state’s words, verbatim · CDSS document, Sep 17, 2026

Allegation investigated: Facility staff were unable to effectively communicate with resident due to a language barrier. Facility staff are not ensuring that residents are provided with activities while in care. Facility staff did not ensure resident was provided supervision wherein resident pushed another resident.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced visit to conclude the complaint investigation. LPA Rai met with the Adminstrator, Bhupinder (Bani) Kaur and stated the purpose of today’s visit. On 11/17/2025, the Department received a complaint with the above allegations. On 11/26/2025, the Department conducted an initial investigation at the facility. Continuation on LIC 9099-C, Page 1 of 3. Unfounded Page 2 of 3. Facility staff were unable to effectively communicate with resident due to a language barrier. On 11/26/2025, LPA Rai interviewed 3 staff (S1-S2) including Administrator (ADM) Bani Kaur. ADM stated all facility staff are provided training in English and they are able to communicate with the ADM, other staff and residents. LPA Rai interviewed both staff present at the facility and S1 and S2 were able to communicate and understand in English. Both staff expressed the care and supervision needs of the residents at the facility and were able to explain the emergency plan of the facility. On 11/26/2026, LPA Rai interview 6 residents (R1-R6). 4 Out of 6 residents refused to be interviewed or were not able to provide information about the above allegation. R3 and R4 stated they are able to understand and communicate with the facility staff. R3 and R4 expressed they were able to communicate their needs to the facility staff and the facility staff would appropriately communicate back to them. During visit, LPA Rai observed facility staff S1 and S2 communicating with R3 and R4 and both residents were able to understand S1 and S2’s questions and answers. Based on review of staff training at random, 2 out of 2 staff completed 40 hours of staff training in English. Facility staff are not ensuring that residents are provided with activities while in care. On 11/26/2025, LPA Rai interviewed 3 staff (S1-S2) including Administrator (ADM) Bani Kaur. ADM stated there are multiple areas for residents to do activities in the facility which include the living room, dining room and their individual rooms. On 11/26/2026, LPA Rai interview 6 residents (R1-R6). 4 Out of 6 residents refused to be interviewed or were not able to provide information about the above allegation. R3 and R4 stated the facility staff do provide activities and the residents can decide if they want to part of the activities. R3 and R4 were able to show LPA Rai the facility’s activity calendar and point out the different areas of the facility to do the activities. R3 and R4 provided LPA Rai different activities they do in the dining room and their room. During visit on 11/26/2025, LPA Rai observed different areas with activities such as the activity cart which included games, puzzles, books, newspapers and other gaming cards which the residents requested. LPA Rai observed a piano and elliptical for residents to use. Based on review of facility activity calendar, facility staff are conducting 1 activity per day with the rest of the day for residents to conduct their own activities. Page 3 of 3. LPA Rai observed the resident rooms and observed each resident doing activities in their own rooms and activity supplies were present in the room pertain to resident’s choice and preferences. Facility staff did not ensure resident was provided supervision wherein resident pushed another resident. On 11/26/2025, LPA Rai interviewed 3 staff (S1-S2) including Administrator (ADM) Bani Kaur. ADM stated there was an incident on 11/11/2025 where resident R1 pushed resident R2 on the chest while R1 and R2 was in their room. ADM stated staff S1 was present in the room, in front of the residents, providing supervision and trying to de-escalate the verbal altercation. ADM stated once S1 observed the interaction between R1 and R2, S1 separated the residents into different areas of the facility. S1 stated he/she was supervising the residents in the room and trying to de-escalate the verbal altercation between R1 and R2. S1 stated once R1 pushed R2 on the chest. S1 separated both residents by taking R1 out of the room. Based on review of resident’s Progress Notes on 11/11/2025, staff documented resident R1 and R2’s altercation. On 11/26/2026, LPA Rai interview 6 residents (R1-R6). 4 Out of 6 residents refused to be interviewed or were not able to provide information about the above allegation. R3 and R4 are not aware of the incident that occurred on 11/11/2025 regarding R1 pushing R2 on the chest. Both staff stated the facility staff are always present at the facility and they are available to assist the residents. R3 and R4 could not recall a time when facility staff were not present at the facility. R1 and R2 did not want to speak with LPA Rai regarding the incident which occurred on 11/11/2025. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. This report was reviewed with Administrator, Bhupinder (Bani) Kaur and a copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 27, 2026 · control 26-AS-20251117140918

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator (ADM) Bhupinder Kaur. During visit, LPA toured the facility inside and out. LPA toured the kitchen area and observed there to be locked drawers for sharp objects and cleaning supplies. LPA observed the kitchen refrigerator, two refrigerators in the garage, a freezer in the garage, and the pantry area. LPA observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed the first aid kit and found it to be complete. LPA observed two out of two bathrooms. Each bathroom had working lights and available soap and paper towels. The showers had shower chairs and grab bars. LPA observed the bathroom sink water temperatures to be 115 F to 117 F. LPA toured three out of three resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the facility carbon monoxide detector and the smoke detectors in the facility hallways and bedrooms. The carbon monoxide detector and smoke detectors functioned properly when tested. See LIC809-C page for more information. Page 1 of 2. LPA toured the outside area and found the exterior exits to be complete. LPA reviewed six out of six resident records, including Centrally Stored Medication and Destruction Records, and found them to be complete. LPA reviewed two out of two resident Personal and Incidental Money Logs and found them to be complete. LPA reviewed four staff records and found them to be complete. The Emergency Disaster Drill Log indicates the last drill was conducted on 09/08/2025. No deficiencies were cited as per California Code of Regulations Title 22. During visit, LPA Marrufo obtained copies of the following forms: LIC500 Personnel Report Surety Bond LIC308 Designation of Administrative Responsibility LIC610 Emergency Disaster Plan Liability Insurance LIC400 Affidavit Regarding Client/Resident Cash Resources This report was reviewed with ADM Bhupinder Kaur and a copy of this report was provided. Page 2 of 2. END REPORTthe state’s words, verbatim · CDSS document, Sep 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Bani Kaur. . 6 residents and 2 staff were observed in the facility. 3 resident files and 3 staff files were reviewed. LPA toured the facility inside out with ADM. License, Administrator Certificate, and personal rights posters were observed in the facility. Living room, kitchen, dinning room and two restrooms were inspected. Three shared resident bedrooms, and garage were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 70 degree F, and hot water temperature was at 106 degree F in facility. Second floor is not included in the facility scope. 1 office, 2 staff live-in room, a restroom, and living room were observed in the second floor. Fire extinguisher was serviced on 09/09/2024. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, the smoker detectors were observed out of batteries. ADM changed the batteries immediately and were working fine. One of the bathroom was observed without non skid mat, ADM put a new non skid mat immediately. Flash lights, first aid box, and night light were observed in the facility. the last time the facility conducted the fire drill was on 7/5/2024. Front yard and backyard were inspected. There was no obstruction to block the walkways. Deficiency noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature.the state’s words, verbatim · CDSS document, Sep 30, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.