Jannat Assisted Living

Type of visit: Required - 1 Year

On 09/24/2026 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Kerry Hiratsuka arrived at the facility unannounced to conduct the required 1 year annual inspection utilizing the care tool. LPAs met with Administrator Anjana Kumari and explained the purpose of the visit. LPA Ratajczak and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to residents bedrooms, bathrooms, kitchen, common areas and backyard. LPA observed required furniture and lighting throughout the residents bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, knives and medications are locked and inaccessible to residents in care. Fire extinguisher was last expected on 03/24/2026. LPA observed required Licensing posters posted throughout the facility. LPAs observed the facility to be pre pouring residents medication for four (4) days in advance. Facility was advised to used up the medication that has been pre poured. Facility is to cease pre pouring. Mediation shall remain in its original container until it is due to be given as prescribed. Deficiencies cited on the LIC 809-D, per Title 22 Regulations. Exit interview conducted with Administrator and a copy of the report was left at the facility. Appeal Rights provided.the state’s words, verbatim · CDSS document, Sep 24, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff mismanages residents' medication records.

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Anjana Kumari to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Substantiated Staff mismanages residents' medication records. Records reviewed indicated that medication lists from the physician’s do not completely match the medications at the facility for each resident. Centrally stored medication forms are being utilized but not fully completed accurately based on medication list from physicians. Observations indicated that medication is not being kept in it’s original container but being placed in a weekly administration container for each resident in care. Observations also indicated that there are medications stored that are expired or not on the current medication list for each resident. Therefore, the allegation staff mismanages residents’ medication records is substantiated. Based on the information obtained for the allegation above, the allegation are SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted with Executive Director and a copy of the report and appeal rights was provided. Staff do not provide a comfortable environment for the residents. Interviews conducted with residents indicated that they feel safe within the home and that staff are helpful. Interviews with administrator and staff indicated that there are only staff and visitors of residents who are in the home. Staff and residents have not witnessed anyone without clearance in the facility at any time. Residents have visitors on a daily basis but have not witnessed anyone uninvited within the home. Therefore, the allegation staff do not provide a comfortable environment for the residents is unfounded. Staff do not provide residents with adequate meal service. Records reviewed indicated that Residents R3 and R5 are on a modified diet according to their physician’s report. Interviews conducted with residents indicated that the food is okay and there is no concerns about the menu or variety of food offered. Interviews with administrator and staff indicated that menus are discussed with residents. Snacks and meals are provided and are a variety based on requests from residents in care. Modified diets are followed for residents based on their LIC602. Therefore, the allegation staff do not provide residents with adequate meal service is unfounded. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.the state’s words, verbatim · CDSS document, May 13, 2026 · control 59-AS-20260414151338

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(6) · Plan of correction due date: May 27, 2026

87465(h)(6)--- (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: This was not met by evidenced by: R1 and R4 medications, Centrally Stored Medication Record and administration records reviewed and did not match medications on file.the state’s words, verbatim · CDSS document, May 13, 2026

Plan of correction: Administrator will conduct a medication audit for each resident to ensure all medicaiton lists, Centrally Stored Medication Records and administration records match and send information to LPA by POC due date. Administrator will also complete TSP referral.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 9/2/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. Administrator/ Licensee was present to assist LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Medication pre-pour practices discussed. Emergency drills were not recorded. LPA reviewed 3 resident and 2 staff files. Resident and staff files requirements were discussed and advice provided. LPA requested the following documents to update the facility file: LIC 308 for designees for each shift, LIC 500 for current staffing. To be submitted by fax by 9/9/25. Training material provided. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Exit interview conducted with Administrator and copy of report and appeal rights left at the facility.the state’s words, verbatim · CDSS document, Sep 2, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 4/3/24 to conduct a Prelicensing Inspection utilizing the CARE tool. LPA Met with the licensee. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, reviewed a resident file . Files in process of corrections needed for prior licensee. Applicant will follow guidance for files in LIC 311F Medication documentation procedure discussed. LPA referred Applicant to CCLD Medication guide on CCLD's website. Component III was completed. No deficiencies are being cited as a result of todays inspection. Facility is in significant compliance. License is pending. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Sep 5, 2024