Ever Care

Type of visit: Required - 1 Year

On July 14, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Shahin Mokhtarzad about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed that Shahin Mokhtarzad has a valid Administrator certificate which expires on November 20, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, five of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver for three. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of six non-ambulatory residents in care, three of which are on hospice, and none are bedridden. The facility is a single story home. There are a total of seven bedrooms, six of which are private resident bedrooms and one is a staff bedroom. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff room is kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of three bathrooms for residents and staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 115.5 and 119.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in a kitchen cabinet and inaccessible to residents in care. Fire extinguisher was charged and located in the dining room. Fire extinguisher was serviced on December 3, 2025. LPA observed all the required postings near the front entrance. LPA observed the facility conducted their last emergency disaster drill on May 26, 2026. Facility had back-up emergency food and water supply, located in a locked storage room. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a medication cabinet in the hall, inaccessible to residents in care. Chemicals were observed to be locked in a storage room. LPA observed the door leading to the attached two car garage is kept locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-closing gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, six resident files and two staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and one resident interview was conducted. The facility has valid liability insurance that expires on May 12, 2027. Based on today's observations, there are deficiencies being cited per Title 22 of the California Code of Regulations. A technical violation were issued. An exit interview was conducted with administrator. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Rights were reviewed.the state’s words, verbatim · CDSS document, Jul 14, 2026

Allegation investigated: -Facility did not meet the residents needs -Facility is not abiding by the admission agreement -Facility did not ensure that resident falls were reported to the Department.

Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegations. LPA arrive at facility was greeted at the door and granted entry. LPA spoke with Shahin Mokhtarzad, Administrator and explained the purpose of the visit. Findings are based upon this investigation which included facility file review, interviews conducted with staff, and residents. It is alleged the facility did not meet residents’ needs. Based on file review resident (R1) expired at the facility on October 28, 2024, and LPA was unable to interview. Record review for R1 revealed that LIC602 physicians report page 4 number 14i. R1 was able to communicate needs. Interviews conducted revealed the following: 3 of 3 staff stated that R1 was very vocal and would express needs, R1 would let staff Continued on LIC9099-C Unsubstantiated know when they needed something. Staff stated that R1 was able to use the call button that would alert staff when they needed assistance. R1 would ask staff to trim their hair, and the Administrator buys the residents clothes when they need them instead of asking the family for clothes. Families are welcome to bring residents new clothes, but Administrator doesn’t depend on families and goes and buys them clothes as needed. An interview with 4 of 4 residents stated that they always get their needs, always met by staff and don’t have an issue. It is alleged that facility is not abiding by the admissions agreement. R1’s records review revealed that R1 and or responsible parties signed Admission agreements that included a section regarding Overnight staff which states “Overnight wake staff is provided at Ever Care when prescribed by a physician, requested by resident or responsible person or when determined by the facility that additional level of care is needed. An additional charge will be assessed by Facility when overnight wake staff is provided.” Interviews conducted revealed the following: 3 of 3 staff confirm all residents have a operating call system to which residents can push when needing assistance. Staff interviews stated they respond to the resident call system. Two of two staff stated that during the middle of the night when they go to the bathroom, they conduct resident rounds. 4 of 4 residents confirmed that the facility has staff always present and are never left unattended inside the facility. All four residents interviewed indicated that staff try their best to provide good care. It is alleged that the facility did not ensure that residents’ falls were reported to the Department. Department file review revealed that R1 had a fall on June 8, 2024, and it was reported to the Department on June 11, 2024. Interview with the Administrator revealed that R1 only had one fall since their admissions date of March 1, 2023, and the one falls was reported to the Department within the seven day regulation requirements. Incidents are always reported by a telephone call to the LPA followed by LIC624 submission. R1 only had another incident where their arm was caught in between the railing of their bed but was no injuries or falls associated to that incident. Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. This report was reviewed with Administrator and a copy was furnished to the facility.the state’s words, verbatim · CDSS document, Jul 10, 2025 · control 22-AS-20241107085641

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Shahin Mokhtarzad, Administrator explained the nature of the visit. There are six (6) residents at the facility and there is two (2) residents receiving hospice services currently. LPA accompanied by Administrator began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in a spare refrigerator in the garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in the bedroom hallway. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA observed the first aid kit. LPA inspected the facility bathrooms (3) and LPA measured the hot water temperature which measured 117.6 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and locked storage cabinet in the laundry unit. The facility has an available clean supply of linens in a storage cabinet in bedroom hallway. LPA observed the emergency food and water supply in a storage cabinet. LPA inspected residents’ bedrooms Continued on LIC809-C which have sufficient lighting to ensure safety and comfort. All bedrooms are observed to have all the required components. Storage space is provided for residents in their bedroom. Smoke detectors/carbon monoxide detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are several shaded seating areas for residents’ enjoyment in the backyard of the facility. LPA observed a fire extinguisher with service date of December 13, 2024, charged and mounted in the kitchen. Fire drills are conducted every three months, LPA verified fire drill logs are kept and last drill was conducted March 30, 2025. LPA began reviewing records. LPA reviewed three resident records. All the required documentation was present and reviewed in the residents’ files. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated with the facility. LPA observed records reviewed have a current First Aid certificate. LPA as a reminder provided annual fee dues information. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 1, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by caregiver. Shahin Mokhtarzad, Administrator arrived shortly after and met with LPA. LPA explained the nature of the visit. There are five residents at the facility and there are one resident currently receiving hospice services. LPA accompanied began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in storage a refrigerator located in the garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in bedroom hallway. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 119.8 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink, laundry unit and in the garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas Continued on LIC809-C for residents’ enjoyment. LPA observed a fire extinguisher with service date of December 07, 2023, in the kitchen. Fire drills are conducted every three months. LPA began review of records. LPA reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPA spoke with alert residents regarding the quality of their care. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate. LPA as a reminder provided annual fee dues information. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 10, 2024

Allegation investigated: Staff are not available to assist residents at night

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced inspection visit to deliver findings for complaint investigation into the above allegations. LPA explained the reason for the visit with Administrator Shahin Mokhtarzad During the course of the investigation LPA toured facility, reviewed records, conducted interviews, made visual observations and requested pertinent documentation such as Resident Roster, Admission Agreements, staff trainings, Functional Capability Assessment and Physician’s reports. During investigation LPA reviewed facility records such as Personnel records, training, and resident records. Records reviewed revealed that Personnel files of staff had training in importance & techniques of personal care, Dementia training in RCFE, Resident Rights, and Direct care staff orientation. Three of three staff obtained CPR Certification and Background clearance. CONTINUED ON 9099C Unsubstantiated . Resident records revealed that six of six residents had resident and or responsible parties signed Admission agreements that included a section regarding Overnight staff which states “ Overnight wake staff is provided at Ever Care when prescribed by a physician, requested by resident or responsible person or when determined by the facility that additional level of care is needed. An additional charge will be assessed by Facility when overnight wake staff is provided.” Interviews conducted revealed the following: three of three staff confirm all residents have a operating call system to which residents can push when needing assistance. Staff interviewed stated they respond to resident call system. Three of three staff stated that during the middle of the night when go to bathroom they conduct resident rounds. Two of three residents interviewed indicated there have been a couple of incidents where either staff did not respond immediately or not at all. Three of three residents interviewed confirmed that facility has staff present at all times and are never left unattended inside facility. All three residents interviewed indicated staff try their best to provide good care. During investigation, LPA pressed alert system buttons to confirm alerts are operational and loud. LPA observed when pressing alert buttons staff responded immediately. Based on records reviewed, interviews conducted, and observations made although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the following allegations: staff are not available to assist residents at night is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator and a copy of this report was reviewed and provided at the time of this visit.the state’s words, verbatim · CDSS document, May 22, 2024 · control 22-AS-20240514164855