Lafayette Gardens

Type of visit: Required - 1 Year

On 02/23/2026 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge arrived to conduct 1-Year Annual Required inspection. LPA met with staff Criselda Valenzuela and explained the purpose of the visit. The Administrator Meeran Saxena arrived at the facility at around 11:55 AM. During the visit, LPA toured facility including but not limited to the kitchen, dining room, resident bedrooms and bathrooms, front and back area of the facility, and common areas. Fire extinguisher was observed full and purchased on 12/08/2025. Smoke detectors and carbon monoxide detectors were tested and observed functional. LPA observed the facility to be at a comfortable temperature for residents. All indoor and outdoor passageways are kept free of obstruction. Hot water temperature was measured at 110 degrees Fahrenheit. LPA observed skid mats and grab bars in resident bathrooms. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in or around the facility. LPA observed a sufficient supply of 7 day non-perishables and two day perishable food supplies. LPA reviewed six (6) resident files and three (3) staff files. All complete. Fire and earthquake drills are conducted quarterly. Last drills were conducted on 12/11/2025. Centrally stored medications were observed locked in a cabinet. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 23, 2026

Type of visit: Required - 1 Year

On 01/22/2025 at 10:40 AM, Licensing Program Analyst (LPA) David Doidge arrived to conduct 1-Year Annual Required inspection. LPA met with staff Aecia Perez. and explained the purpose of the visit. The Administrator Meeran Saxena arrived at the facility at around 11:00 AM. During the visit, LPA toured facility including but not limited to the kitchen, dining room, resident bedrooms and bathrooms, front and back area of the facility, and common areas. Fire extinguisher was observed full and purchased on 01/22/2025. Smoke detectors and carbon monoxide detectors were tested and observed functional. LPA observed the facility to be at a comfortable temperature for residents. All indoor and outdoor passageways are kept free of obstruction. Hot water temperature was measured at 107.7 degrees Fahrenheit. LPA observed skid mats and grab bars in resident bathrooms. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in or around the facility. LPA observed a sufficient supply of 7 day non-perishables and two day perishable food supplies. LPA reviewed six (6) resident files and four (4) staff files. All complete. Fire and earthquake drills are conducted quarterly. Last drills were conducted on 12/11/2024. Centrally stored medications were observed locked in a cabinet. Continued on LIC809C. Continued from LIC809 The following forms to be updated and submitted to CCLD by 1/29/2025: LIC500 (Personnel Record) LIC308 (Designation of facility Responsibility) Surety bond No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 22, 2025

Allegation investigated: Administrator accepted resident without proper paperwork or signatures from the authorized representative

On this day at around 10:00 am, Licensing Program Analysts (LPAs) K. Nguyen and L. Holmes arrived unannounced to conduct investigation on the above allegations. LPAs met with caregiver Annie Perez and explained the purpose of visit. LPAs informed Administrator Meeran Saxena the purpose of visit. Administrator arrived at the facility at a later time. During the course of investigation, LPAs interviewed Administrator Meeran regrading the above allegation. Administrator confirmed to LPAs that she does not have R1 Physician's Report, Admission Agreement. Based on interview conducted, Resident 1 (R1) has a diagnosis of Dementia and trying to get in contact with R1 POA to get all the documentation sign. Documents that was being provided is from the previous facility and not for this facility. Based on LPA interviews and record reviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22. Deficiencies are being cited on the attached LIC 9099D. Exit interview was conducted with Meeran. Appeal Rights was provided via email. Substantiatedthe state’s words, verbatim · CDSS document, Apr 5, 2024 · control 15-AS-20240328084742

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507 · Plan of correction due date: May 6, 2024

87507 Admission Agreements Based on interview conducted, Resident 1 (R1) has a diagnosis of Dementia and trying to get in contact with R1 POA to get all the documentation sign. Documents that was being provided is from the previous facility and not for this facility.the state’s words, verbatim · CDSS document, Apr 5, 2024

Plan of correction: By POC date Administrator agree to obtained R1 admission agreement, and all require document sign by R1 representative.

Type of visit: Required - 1 Year

On 2/08/24 at 1:15 PM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Meeran Saxena, Administrator and explained the purpose of the visit. The facility’s fire clearance was approved for 6 residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 3/17/23. Emergency Disaster Plan was last posted on 1/10/24. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/23. LPA reviewed 5 residents records and 4 staff records; all were complete. LPA also reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/15/24: LIC610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 8, 2024