Family Ties Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. Structure: The facility is a single level structure that includes an Additional Dwelling Unit (ADU) and licensed for 12 residents. Seven resident were present during the inspection. There’s a total of 7 bedrooms (6 resident and 1 staff room) and 4 restrooms available. There’s a living room space, a dining space, backyard area and an attached garage. The ADU also has an attached garage. Bedrooms: All bedrooms have the required furnishings. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Hot water measured at 112.1 degrees F. Cleaning chemicals are locked below the sink. Kitchen: 4 of 4 burners and the warmer were operational on the gas stove. All four burners were operational on the gas stove in the ADU as well. Sharps are double locked and stored in a locked filing cabinet behind the dining table in a locked safe. Resident medication are stored in a locked kitchen cabinet. Food Service: A food supply that meets regulation requirements was observed. Client & Staff Files: Resident and staff files are located in locked filing cabinet behind the dining table. File Review: Four resident files and three staff files were reviewed during the inspection. Medications/First-Aid Kit: Client medications are stored in a locked kitchen cabinet. A first aid kit with all the required elements was observed in the locked filing cabinet behind the dining table Medication Review: Three resident medication were reviewed during the visit. Continued on LIC809C Linens & Hygiene Supplies: Hygiene items were observed in the resident bathrooms. Additional linens were observed in the closets in the main hallway. Garage Area: Walkways are free of obstruction. A laundry area equipped with a washer and dryer was observed. An additional perishable food supply was observed in a refrigerator, and a nonperishable food supply was observed in the pantry in the garage. Emergency items were observed including a supply of emergency food and water. Backyard/Exterior: A table and chairs were observed under a shaded patio area. There’s a storage shed in the backyard with an additional nonperishable food supply. Bodies of Water: None Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguishers was observed mounted on the wall in both kitchens. An emergency evacuation drill: Conducted August 22, 2026, and are conducted quarterly. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Facility postings are posted are available for review on the postings board in the main hallway. No deficiencies are being cited as a result of today’s inspection. An exit interview conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 27, 2026

Type of visit: Case Management - Other

LPA Haley made an unannounced case management visit to verify the facility sketch approved by the Orange County Fire Authority April 29, 2026. During the inspection LPA Haley confirmed the facility floor plan is consistent with what was approved during the April 29, 2026, fire inspection. During the inspection, LPA observed three resident bedrooms with all the required elements. Two resident bathroom areas were observed. Hot water measured at 108.5 and 108.1 degrees F. 4 burners were operational on the gas stove. Sharps and resident medications will be stored in a locked kitchen cabinet. Resident files will be stored in a locked filing cabinet and will be stored in the garage attached to the front structure. The garage attached to the rear structure will not be used and will be inaccessible to residents. Licensee and Administrator were advised staff should always have access to the garage when requested by the department. No corrections are needed. The structure will be recommended for licensure. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 14, 2026

Type of visit: Case Management - Other

LPA Haley made an unannounced case management visit to verify the facility sketch approved by the Orange County Fire Authority April 29, 2026. The licensee was not prepared for the visit and the garage on the new structure was not accessible. LPA Haley will return to complete the case management visit. Licensee will be advised that all areas of the structure need to be available during the case management visit. A copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Required - 1 Year

LPA made an announced visit to conduct the required annual inspection. The facility is currently licensed; however, the facility is non-operational and has never accepted any residents. Licensing fees are current. The interior and exterior areas of the facility are being maintained. The facility has running water and electricity. There were no smells or odors present during the inspection. Currently there is an ADU being constructed in the rear of the facility and Licensee Fisal Rajpoot provided the building permit documents via email. The estimated date of completion is scheduled for April or May 2026 and may be completed sooner. LPA and Licensee Fisal Rajpoot discussed the intended use of the structure and the next steps to take when the structure is completed. LPA advised the licensee that the facility will need a new fire clearance, and the facility floor plan needs to be updated when the structure is completed. Licensee Fisal Rajpoot understood the guidance provided and understood the next steps. LPA Haley also advised Licensee Fisal Rajpoot the importance of notifying the department prior to accepting its first resident. Licensee Rajpoot understands and agrees to notify the department prior to accepting it’s first resident. No deficiencies are being cited during today’s visit. An exit interview conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 14, 2025

Type of visit: Required - 1 Year

LPA Haley attempted to conduct the required Annual Inspection. When LPA arrived the door bell was rang and there was no answer. LPA contacted the numbers on the facility profile. The primary number went straight to voicemail. LPA then called the primary number on the profile and spoke with Faisal Rajpoot. According to Faisal he said his brother (Kamil Rajpoot) is the Licensee and he's his brothers partner. When LPA explained the purpose of the call, Fasial said he is not ready for an inspection. LPA explained one the facility is licensed, the facility is subject to Annual Inspections. LPA then asked about the construction taking place in the back of the facility. LPA asked for and email providing the following information: Facility Telephone Number Start and an estimated end dated of the construction project. Photos were taken. LPA then explained an attempt to conduct the required unannounced Annual Inspection will be attempted at a later date. LPA request an email form the licensee following the phone conversation.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jerome Haley made an announced visit to conduct a follow up pre-licensing inspection to ensure all corrections from the initial pre-licensing visit have been completed. LPA Haley was greeted and granted entry by applicants Fasial and Kamil Rajpoot. LPA Haley explained the reason for the visit upon entry. During a tour of the facility, LPA Haley observed that the following items have been corrected. 1. Ceiling in the garage has been completed. Studs are no longer visible. 2. Exposed wires in the garage have been covered by the finished ceiling and are no longer exposed. 3. Fireplace screen has been placed on the fireplace in the living room. 4. Additional activities and/or games are now available for the residents including Pictionary, Scrabble, and some arts and crafts items. All items have been corrected. No new deficiencies were observed. The facility is ready for licensure. Component III was presented to the applicants after the follow up inspection. An exit interview was conducted, and a copy of this report was provided to applicants Fasial and Kamil Rajpoot.the state’s words, verbatim · CDSS document, Sep 17, 2024

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Jerome Haley made an announced visit for the purpose of conducting a pre-licensing evaluation. LPA Haley was greeted and granted entry by applicants Fasial and Kamil Rajpoot. An initial application to operate a Residential Care Facility for Elderly, with a capacity of 5 non-ambulatory residents and 1 bedridden resident. Fire clearance: Orange County Fire Authority granted the Fire Clearance July 11, 2024 Structure: The facility is a single level structure, with an attached garage. There’s a total of four bedrooms, 3 of which are for residents, living room space, and one dining room. Bedrooms Residents: All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathrooms: Bathrooms are equipped with a working toilet, wash basin, and walk in shower. Hot Water Temperature in Bathroom #1 was measured at 108.8 degrees Fahrenheit and 107.9 degrees Fahrenheit in bathroom #2. Kitchen: The gas stove was operational, and all 5 burners were in good working order. Knives and sharp objects will be locked in a cabinet above the stove. Food Service: A sample menu was observed on the refrigerator. An emergency supply of non-perishable food items is stored in the garage. Garage: There’s a washer and dryer in the locked garage. Hazardous cleaning chemicals, hygiene items, emergency supplies, are stored in the garage. The ceiling in the garage needs to be completed to cover exposed studs and a couple exposed wires before being licensed. There's an extra refrigerator that will be used to store an additional food supply. Resident & Staff Files: Resident files and staff files will be stored in a locked filing cabinet that will be stored in the garage. Continued on LIC809C Medications, First-Aid Kit: Medication and first aid kit will be stored in the kitchen in a locked cabinet above the counter top. Linens & Hygiene Supplies: Adequate supply of linen was stored in a cabinet in the hallway. Hygiene supplies will be stored in the cabinets in the hallway and extra hygiene supplies will be stored in the garage. All laundry detergents and hazardous cleaning items will be stored in the locked garage. Toxins: All toxic chemicals, cleaning solutions, laundry detergents and disinfectants are inaccessible to residents are stored in the locked garage. Backyard/Exterior: There is a large backyard with a self-closing and self-latching exit gate. A shaded patio area with a table and chairs was observed. All walkways were clear and free of obstruction. Bodies of Water: No bodies of water were observed. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors are hardwired and tested operational. Two additional carbon monoxide detectors were observed mounted on the walls in the facility. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan, a list of emergency phone numbers, house rules on the facility postings board in the hallway, and a sample menu posted in the kitchen. Fire Extinguisher: Observed full charged and mounted in the kitchen. During the visit, the following was observed which must be corrected. 1. Ceiling in the garage needs to be completed. 2. Cover exposed wires in the garage. 3. Fireplace screen for the fireplace in the living room. 4. Additional activities and/or games available for the residents. Component III: Will be waived as the facility is not ready to be licensed at this time. An exit interview was conducted, and a copy of this report was provided to applicants Faisal Rajpoot and Kamil Rajpoot.the state’s words, verbatim · CDSS document, Sep 16, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): COMP II Participants: Faisal & Kamil Rajpoot Interview Method: Telephone interview On August 16, 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 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. Staffing/Training/Medications/Activities 3.General Provisions/Pre-Licensing inspection readinessthe state’s words, verbatim · CDSS document, Aug 16, 2024