Loving Place

Type of visit: Required - 1 Year

At approximately 12:45 PM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a required 1-year annual inspection and was greeted by caregiver Melchor "Marvin" Alfonso who has Designation of Facility Responsibility (RP, Licensee/Administrator Rajwant "Goldie" Minhas was called who arrived at approximately 1:15 PM to further assist with today's inspection. Facility is a Residential Care Facility for the Elderly (RCFE) licensed for 6 residents with five (5) residents in care. Facility has a Hospice waiver for Three (3) and is approved for six (6) non-ambulatory residents. Facility currently has no residents receiving hospice services. At approximately 1:15 PM, LPA initiated a tour of the facility with licensee and observed the following: Facility is a one story home with views of the surrounding hills, free from odors, a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 03/2025 and was observed to be fully charged . Water temperatures measured between 105F and 120F per title 22 Regulations LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a 2-day supply and variety of healthy perishable foods, 7-day supply of non-perishable food, and emergency water supplies. In addition, a variety of snacks and fruits were observed to be set out for residents. Food was found to be stored in a safe manner with open items covered. Continued on LIC809C Continued from LIC809 A staff room was noted to have second lockable door access to a resident bathroom and licensee was advise to keep door locked at all times and post permeant signs to not use door. Facility has an emergency whole-house backup battery wall. LPA observed TVs, books, patio with sun and shade. Facility handles no resident monies. LPA will return at a later unannounced date to review the facility resident and staff files, medicine storage and medicine administration. No deficiencies are cited today. This report was reviewed with Licensee/Administrator Rajwant "Goldie" Minhasthe state’s words, verbatim · CDSS document, Feb 24, 2026

Type of visit: Required - 1 Year

**Due to computer technical issues, a paper 809 and Administrator/Licensee signature is on file** At approximately 09:45 am, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by Licensee/Administrator Manjit "Goldie" Minhas Facility is a Residential Care Facility for the Elderly (RCFE) licensed for 6 residents with five (4) residents in care. Facility has a Hospice waiver for Three (3), with 1 hospice residents currently in care, and is approved for six (6) non-ambulatory residents. At approximately 10:15 am, LPA initiated a tour of the facility with licensee and observed the following: Facility is a one story home with front of the house views of the hills, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 03/2025 and were observed to be fully charged . Water temperatures measured between 105F and 120F per title 22 Regulations LPAs observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a 2-day supply and variety of healthy perishable foods, 7-day supply of non-perishable food, and emergency water supplies. In addition, a variety of snacks and fruits were observed to be set out for residents. Food was found to be stored in a safe manner with open items covered. Continued on 809C Continued from 809... Facility has an emergency whole-house backup battery wall. LPA observed TVs, books, patio with sun and shade Licensee was advised to ensure that tall green grasses were cut to reduce fire hazard as grasses dry out. Disaster drills were last conducted January 2025 At approximately 11:15 AM LPA conducted a review of four (4) staff records. All 4 staff had required criminal clearance, health records and educational training. At approximately 11:45 AM LPA conducted review of four (4) resident records. Most required documentation was in place, except four (4) of four (4) did not have signed Consent for Emergency Medical Treatment (LIC627C) B-Deficiency issued and Plan of Correction (POC) developed with administrator and due by 05/16/2025 At approximately 12:30PM PM LPA and Licensee Minhas conducted a spot check of medication and medication records with records observed centrally stored and locked. A copy of current Facility sketch was obtained today Licensee/Administrator to submit updates of the following documents by 05/16/2025 LIC 500 Personnel Summary Evidence of current liability insurance LIC 308 Designation of facility responsibility. LIC 610 Emergency Disaster Plan - updated (if needed) and signed and dated Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Licensee/Administrator Minhas Manjit and Appeal rights were given.the state’s words, verbatim · CDSS document, Apr 11, 2025

Type of visit: Required - 1 Year

LPA Hiratsuka conducted this unannounced annual visit. This facility has a fire clearance for five non-ambulatory and one bedridden resident. There are four private resident rooms and one shared resident room. There are two caregiver rooms. There is a laundry room. The resident rooms and common areas were toured and no issues found. Two staff files and two resident files were reviewed. The following was observed during today's visit: -the facility sketch submitted to Community Care Licensing Division with the application in 2014, does not match the floor plan. It does not have one of the staff rooms, has an extra staff room, and the layout appears to be flipped. LPA discussed the facility sketch with Co-Licensee Manjit Minhas and he stated he will submit a new one. Multiple topics were discussed. The following shall be updated and submitted to Community Care Licensing Division by May 15, 2024: -LIC 308 designation of administrative responsibility -liability insurance -LIC 500 facility personnel or staff schedule -facility sketch no deficiencies cited.the state’s words, verbatim · CDSS document, Apr 19, 2024