Fahima Care Home 1

Allegation investigated: Staff did not meet residents needs Staff did not treat residents with dignity

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation regarding the above mentioned allegations. LPA spoke with Administrator, Raushon Ahmed. During the investigation, the facility was toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged that staff did not meet the residents needs by not providing hygiene and grooming care services. Some residents require and receive assistance with hygiene and grooming. Residents interviewed confirmed receiving those care services. Outside sources that visit the facility on a regular basis stated the residents were receiving hygiene and grooming services. Staff stated they provide hygiene and grooming to residents that require assistance. It was also alleged that staff did not treat residents with dignity by yelling and handling them in a rough manner. Staff denied handling residents in a rough manner. Residents that receive direct care stated they were not handled in a rough manner. Continued on LIC 9099C Unsubstantiated Outside source interviews revealed observing staff providing gentle care to a resident. Residents denied being yelled at by staff. Outside sources have not witnessed staff yelling at residents but reported there was a resident that yells often. Staff stated they are caring towards the residents and did not yell at them. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Administrator, Raushon Ahmed.the state’s words, verbatim · CDSS document, May 8, 2026 · control 08-AS-20260429090717

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. LPA was greeted and allowed entry into the facility and conducted the visit with Administrator, Raushon Ahmed. LPA, accompanied by the administrator, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured at 105 F.. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, and/or fireplaces accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detector, emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and resident records/files. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator, Raushon Ahmed to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, May 7, 2026

Allegation investigated: Staff did not treat resident with dignity

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above mentioned allegation. LPA met with Administrator, Raushon Ahmed. During the investigation, the facility was toured, records reviewed and interviews conducted with staff, residents, and outside sources. It was alleged staff did not treat resident with dignity. It was reported that the caregivers expressed they don’t want male residents at the facility and have been mean to male residents. It was also reported the caregivers were grabbing and pulling the arms of the male residents to prevent them from going outside to smoke a cigarette. Staff interviews revealed they do not want residents to smoke outside as it can be viewed negatively by the community. The facility has a covered patio area with a ramp leading outside. The patio area can be viewed by people walking or driving by. Staff also reported the male residents used wheelchairs and it was difficult for the residents to come up the ramp independently. Therefore, a smoking area was designated for the residents in a corner spot located in front of the facility, away from street view. Continued on LIC 9099C. Substantiated The administrator explained residents are allowed to smoke outside. Residents stated they were able to go outside to smoke but staff made it uncomfortable by making it a big deal and grabbing their arms. Resident interviews confirmed the staff did not treat the residents with dignity. Resident interviews corroborated that staff treated the male residents meanly by disrespecting them. Due to being mistreated, a resident wanted to use the facility phone but was scared to ask due to the way they were being treated. Residents also stated the staff make them stay in their rooms. Based on interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Raushon Ahmed whose signature below confirms receipt of these rights. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Raushon Ahmed whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Apr 14, 2026 · control 08-AS-20251230120533

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Apr 28, 2026

Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not ensure staff treated 2 out of 4 [R1-R2] residents, which poses a potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Apr 14, 2026

Plan of correction: Administrator agreed to have staff attend Personal Rights training and provide proof of training by POC due date.

Type of visit: POC

Licensing Program Analyst (LPA) Natasha Persaud conducted a Plan of Correction visit. LPA was greeted and allowed entry into the facility by Administrator, Raushon Ahmed. Licensee, Fahima Nazreen was also present. On 01/05/26, the licensee was issued a deficiency for incomplete resident records. The administrator contacted licensing explaining that deficiency was corrected and ready for review. Also, a deficiency was issued for reporting requirements. As of today, the following deficiencies regarding resident records and reporting requirements has been corrected. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee, Fahima Nazreen whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jan 6, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Natasha Persaud conducted a Case Management - Deficiencies visit. LPA was greeted and allowed entry into the facility by Staff, Petra Galindez. LPA spoke with Administrator, Raushon Ahmed via telephone, while at the facility. Today, LPA was at the facility regarding a complaint investigation and observed deficiencies. LPA observed a black box in the fridge storing a former resident's medication. The box was not locked and medications were made accessible to residents in care. The fridge/freezer located inside the facility did not have a sufficient food supply. The freezer contained frozen food items, such as Banquet dinners and pot pies. The freezer was not sanitary and had debris and particles. The fridge had 1 package of hot dogs and some tupperware that contained food, but it was unlabeled/unidentified. The pantry contained a bag of hot dog buns, a case of Top Ramen noodles and one case of canned vegetables. The fridge located in the garage contained an egg carton with 5 eggs, and one loaf of bread. The freezer had one zip lock bag with raw chicken, which was not labeled or dated. The freezer had dried blood all along the base of the inside of the freezer. In addition, LPA requested resident records for Resident #1 (R1) and Resident #2 (R2) and was made aware by the administrator that the files were incomplete. The administrator stated the resident's were admitted to the facility without the required documentation due to the administrator being ill, and they were behind on their paperwork. LPA explained the importance on required documentation for admittance. Resident #3's Resident Appraisal was not current with a date of 08/2024. Also, R1 left the facility on 12/30/25 to go to the store and didn't return. The administrator did not complete an incident report and assumed the report was not needed, as R1 was not returning to the facility. Deficiencies were observed and cited on the attached LIC 809D. A civil penalty is being assessed for a repeat violation within a 12 month period. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Petra Galindez whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jan 5, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jan 6, 2026

Incidental Medical and Dental Care. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible...supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not ensure medications were centrally stored and made inaccessible to 2 out of 3 [R2-R3] residents, which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 5, 2026

Plan of correction: Administrator stated the medications belonged to a former a resident, the medications were removed and locked during the visit. The administrator agreed to attend training along with staff regarding medications being locked/inaccessible. The administrator will provide proof of scheduled training date by POC due date, tomorrow, and submit proof of training within 2 weeks.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87555(a) · Plan of correction due date: Feb 2, 2026

General Food Service Requirements. The total daily diet shall be of the quality and in the quantity...and shall meet the Recommended Dietary Allowances... Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not ensure the quality/quantity of food met the requirements for 3 out of 3 [R1-R3] residents, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 5, 2026

Plan of correction: Administrator explained they didn't have time to grocery shop. The administrator agreed to submit the grocery receipt to show sufficient food of good quality, along with a photo of purchased food items. In addition, both fridge/freezers will be cleaned to a healthful manner.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Feb 2, 2026

Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not maintain records for 3 out of 3 [R1-R3] residents and a former resident, which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jan 5, 2026

Plan of correction: The administrator stated they will update the resident records and ensure they are maintained accurately by POC due date. Civil Penalty issued for a repeat violation within a 12 month period.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87457(c) · Plan of correction due date: Feb 2, 2026

Pre-Admission Appraisal. Prior to admission...resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs...specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not complete a Pre-Admission Appraisal for 1 out of 3 [R2] residents and a former resident, which posed a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jan 5, 2026

Plan of correction: Administrator agreed to attend training on Pre-Admission Appraisals and provide proof of training by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Feb 2, 2026

Reporting Requirements. A written report shall be submitted to the licensing agency...in (A) through (D) below. This report shall...and disposition of the case. Any incident...such as psychological abuse of a resident by staff...or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not submit an incident report for 1 out of 3 residents [R1], which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 5, 2026

Plan of correction: Administrator stated the incident report was not completed due to R1 not returning. Administrator will ensure to submit incident reports on occurrences. Administrator agreed to submit an incident report for R1 by POC due date.

Allegation investigated: Unlawful eviction

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above mentioned allegation. LPA met with Staff, Petra Galindez. LPA discussed allegation with the administrator, Raushon Ahmed via telephone while at the facility. During the investigation, the facility was briefly toured, and interviews conducted with staff, residents and outside sources. It was alleged that R1 was unlawfully evicted. Outside source #1’s (OS1) interview revelaed R1 went to the hospital on 06/07/21 for a mental condition. R1 was discharged from the hospital on 06/09/21. However, the administrator denied R1’s return to the facility. The administrator confirmed they denied the return of R1 due to being worried R1 may attempt to hurt themselves. The administrator also stated the facility was not equipped to handle that type of mental condition. A 30 day eviction notice in writing was not provided to R1. Continued on an LIC 9099C. Substantiated Based on interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Petra Galindez whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1] The administrator explained they are at the facility daily and observe staff cooking the food, but also stated they have frozen foods as well. The administrator denied residents being served half frozen hot dogs and added they serve meals of nutritional value. It was also alleged that the licensee did not provide planned activities for the residents. On 06/15/21, LPA observed residents laying in their beds. The administrator’s interview indicated the residents have some sort of mental condition. Therefore, it can be a challenge to get the residents to participate in activities. However, the facility has activities and offers them to the residents. The administrator explained the residents have different preferences for activities, such as using the computer and word puzzles. Some residents prefer walking and residents that receive hospice services prefer to be in bed. The administrator also stated they spend a lot of time conversing with a resident like a companion, as an activity, which assists with brain stimulation. Resident interviews confirmed they have activities they prefer such as using their computer or watching television. Staff interviewed said they have plenty of activities, but the residents never want to participate. Staff offer activities and the residents refuse so they don't force them. During the course of the investigation, interviews were conducted. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Petra Galindez whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jul 23, 2025 · control 08-AS-20210609155427

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224(a) · Plan of correction due date: Jul 30, 2025

Eviction Procedures. The licensee may, upon thirty (30) days written notice to the resident, evict the resident...of the facility, development of a need not previously identified, and/or a change of use of the facility. This requirement is not met as evidenced by: Based on interviews, the licensee did not accept 1 out of 5 [R1] residents to return to the facility after discharge from the hospital, which posed a potential health, safety, and personal rights violation to residents in care.the state’s words, verbatim · CDSS document, Jul 23, 2025

Plan of correction: The Administrator explained R1 no longer resides at the facility. The administrator agreed to attend training on evictions and submit proof of training by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. LPA was greeted and allowed entry into the facility and conducted the visit with Staff, Petra Galindez. The Licensee, Fahima Nazreen and Administrator, Raushon Ahmed arrived during the visit. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured at 115 F.. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, and/or fireplaces accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detector, emergency lighting, and facility telephone were all working. First aid kit was complete. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff and residents. LPA reviewed multiple staff and resident records/files. The reviewed files did not contain required documents. Confidential records were stored in locked areas. Resident #4 (R4) has a wound on the back of their neck. R4 was laying in bed with a sweatshirt that was cut in half up the back of the sweatshirt and draped across the front of R4. LPA explained residents should be accorded dignity and wear clothing in good condition. Continued on an LIC 809C. Administrator added it was easier for staff to care for the wound by the sweatshirt being cut open, making the wound accessible for staff. In addition, staff were opening resident bedroom doors without knocking. LPA advised and observed staff enter without knocking after being advised of resident personal rights. Staff were interviewed and unable to answer some of LPA's questions. The administrator was advised vendor training is now required for staff regarding annual training. Deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator, Raushon Ahmed and Licensee, Fahima Nazreen and a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. LPA was greeted and allowed entry into the facility and conducted the visit with Staff, Petra Galindez. The Licensee, Fahima Nazreen and Administrator, Raushon Ahmed arrived during the visit. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured at 114 F.. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, and/or fireplaces accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff and residents. LPA reviewed multiple staff and resident records/files. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with XXX to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, May 29, 2024

Allegation investigated: Facility staff did not afford resident dignity.

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to continue investigation of the above allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Petra Gelindec. LPA also spoke with Administrator Raushon Ahmed via phone during today’s visit. The Complainant alleged Licensee did not afford Resident #1 (R1) dignity because Licensee's staff moved R1’s personal belongings within/inside their bedroom, without R1’s consent. During today’s visit, LPA briefly toured the facility and interviewed residents in care. CCLD’s investigation also involved a prior unannounced facility tour / welfare check and review of pertinent care and administrative records. The Department also interviewed R1 and relevant staff. [CONTINUED ON LIC 9099-C, 1 of 2] Unsubstantiated [CONTINUED FROM LIC 9099] Per R1’s LIC602 Physician’s Report, R1’s doctor determined that R1 was not confused/disoriented, able to communicate needs, able to follow instructions, and able to leave the facility unassisted. The doctor also wrote that R1 experienced urinary incontinence and had poor hygiene habits. R1’s LIC603A Resident Appraisal reinforced that they were bladder incontinent. Multiple staff interviews corroborated that R1 sometimes wet their bed, despite wearing pull-up/Depends underwear. According to regulation CCR 87464 (titled "Basic Services"), Licensee was required to provide “safe and healthful living accommodations.” According to regulation CCR 87307 (titled "Personal Accommodations and Services"), Licensee was required to provide “clean linen” for resident beds and ensure that “clean linen is in use by residents at all times.” According to the Admissions Agreement which R1 signed, R1 was their own responsible person and they agreed to allow Licensee's staff to periodically change their bed linens and provide basic housekeeping to their room. Staff interviews showed: During the time frame of the complaint, caregivers sometimes entered R1’s room to perform bed linen changes and basic housekeeping when R1 was not present (since R1 frequently went on community outings). There were times cleaning was urgent, due to R1 having wet their bed. R1 often left small personal effects on top of their bed and/or on the floor of their bedroom. To effectively change R1’s bed linens and/or sweep/mop the floor, staff sometimes relocated said personal effects into a cardboard box. The box was left inside R1’s bedroom in plan view for R1 to see upon their return. There was at least one occasion when staff observed the top of R1’s dresser was so filled with personal items that some (which included open containers) were at risk of falling on the ground. Staff similarly placed some of these items in a cardboard box. Staff interviews aligned to show that on occasions when staff touched R1’s belongings, their scope was limited to only those items which needed to be moved to support basic cleanliness for R1’s room. Cleanliness of R1’s bedroom supported R1’s dignity. Licensee provided open communication to R1 about the need to clean and made reasonable efforts to clean when R1 was present, although this was not always possible. [CONTINUED ON LIC 9099-C, 2 of 2] [CONTINUED FROM LIC 9099-C, 1 of 2] In their own interview, R1 confirmed that facility staff did not remove their personal belongings from their bedroom or deprive them access to or use of their belongings. LPA’s observation of R1’s bedroom supported the credibility of staff accounts. LPA also interviewed three (3) additional residents in care; each person said that facility staff treated them with dignity and respected their belongings / personal property. Based on interviews and records, a preponderance of evidence does not exist to prove that Licensee did not afford R1 dignity. The allegation is therefore unsubstantiated. An exit interview was conducted with Gelindec and Ahmed. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to Licensee during today’s visit.the state’s words, verbatim · CDSS document, Mar 6, 2024 · control 08-AS-20210420105842