Rai Angels 2

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA spoke with Administrator Balwinder Rai over the phone and met with care staff during today's visit. LPA arrived to review an incident report submitted into CCL. No further information is required for this incident report. At the time of this visit no deficiencies were given. Exit interview and report provided.the state’s words, verbatim · CDSS document, Jun 30, 2026

Allegation investigated: Staff speak inappropriately to residents Staff do not provide adequate food service Staff do not ensure that facility is free of insects Resident fell and sustained injury due to lack of supervision

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to complete investigation into allegations listed above. LPA met with Balwinder Rai during today’s inspection. LPA investigated allegation, “Staff speak inappropriately to residents”. LPA interviewed staff, relevant party, clients, and reviewed documentation. LPA interviewed relevant party in which they stated staff members yelled at R1, called them names, and were rude. LPA interviewed R1 who stated staff members were rude once to them but could not remember further details. LPA interviewed 1 resident in the facility in which they stated care staff have never been rude to them and treat them kindly. LPA interviewed administrator in which she stated she never observed staff members being rude or speaking inappropriately to R1 or other residents. Care staff present during the time of the incident no longer work at the home. Due to the information gathered, LPA finds allegation to be unsubstantiated. Continuation on 9099-C. Unsubstantiated LPA investigated allegation, “Staff do not provide adequate food service”. LPA interviewed staff, relevant party, clients, reviewed documentation and toured kitchen area. LPA interviewed relevant party in which they stated residents are only being served frozen vegetables, no snacks, and no desserts. LPA interviewed R1 in which they stated they did not like the food but was unable to give further details. LPA interviewed a resident in care, and they stated they sometimes liked the food, and sometimes did not, however there is always enough food provided. LPA toured the kitchen and found 2-day perishable and 7-day non-perishable amount of food. LPA observed fresh fruits and vegetables available and canned goods. LPA reviewed facility menus and observed meals had proteins, fruits and vegetables available. Due to the information gathered, LPA finds allegation to be unsubstantiated. LPA investigated allegation “Staff do not ensure that facility is free of insects”. LPA interviewed staff, relevant party, clients, and toured the facility. Relevant party reported that R1 was seeing cockroaches in their room. Relevant party never saw them personally however R1 sent relevant party a picture of a cockroach that they found. LPA interviewed R1 in which they stated they observed cockroaches in the bathroom and their bedroom. LPA interviewed a current resident in which they stated they have never observed bugs within the home. LPA interviewed caregivers in which they stated they have not observed bugs within the home. LPA interviewed administrator in which she stated her husband sprays around the house monthly and they have never had a bug problem. LPA toured the facility and did not observe any bugs within the facility. Due to the information gathered, LPA finds allegation unsubstantiated. LPA investigated allegation, “Resident fell and sustained injury due to lack of supervision”. LPA interviewed staff, relevant party, clients, and reviewed documentation. Relevant party reported that R1 fell due to staff neglect and lack of supervision. Relevant party reported that staff did not check on R1 throughout the night, even though R1 was a fall risk. LPA interviewed R1 in which they stated they fell in the middle of the night and was on the ground for an hour or so before staff found them. R1 was unable to provide LPA with further details. LPA reviewed R1’s needs and service plan in which it stated at times R1 wakes up at night and wanders in their room and caregiver is to make sure the resident is safe and encourage them to go back to sleep. Continuation on 9099-C. Staff notes indicated R1 had a fall around 6 am, complained about pain and so R1 was sent out to the hospital around 6:20 am. Staff notes indicated that R1 had 1 previous fall, and no injuries were reported. Due to the information gathered LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview was conducted and copy of report provided.the state’s words, verbatim · CDSS document, Apr 22, 2026 · control 59-AS-20260313112615

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Bethany Mirlohi arrived to conduct a prelicensing inspection. LPA spoke to licensee over the phone and met with Preet Bhamg during today's inspection. Facility was inspected both indoors and outdoors. LPA inspected 5 resident bedrooms, 3 bathrooms, 1 staff room, common living areas, kitchen, and outdoor areas. Outdoor area is free from hazardous debris. Outdoor exits are clear and accessible. There are two sheds in the backyard that are used for storage. First aid kit was present in the facility. Centrally stored medications will be stored in locked closet area near the kitchen. LPA inspected resident bedroom and the bedroom had appropriate furnishings, adequate lighting and storage. Bathrooms are clean, sanitary, and in good repair. Smoke detectors and carbon monoxide detectors are in working condition. Fire clearance was granted on 06/24/25 for 5 non-ambulatory residents and 1 bedridden resident in room 1. Kitchen is clean, sanitary, and in good repair. A working telephone has be set up for residents use. LPA reviewed 2 of 5 resident files, disaster plan, and infection control plan. Comp III was waived during today's inspection. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, Dec 30, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 5 COMP II Participants: RAI, BALWINDER Interview Method: Telephone interview On 12/09/2025, 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. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 9, 2025