Sweetwater Senior Care II

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Administrator (AD) Hashim Moosani arrived shortly to conduct facility tour. LPA along with staff toured the facility at 1:25 PM. LPA toured the physical plant, checked food service, and facility documentation. The home consists of four resident bedrooms, staff room, living room, dining room, and kitchen, two bathrooms and an attached garage. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured 113.7 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPA toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. One burner on the kitchen stove is non-operational. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility does not have a record of emergency disaster drills. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gate is unlocked and operational. LPA observed the emergency food. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise. LPA reviewed five resident files and two staff files. Two out of five resident files contained all required documentation including admission agreements, physician reports, and resident appraisals. One out of two staff files did not include evidence of a health screening. The remaining staff file did not include evidence of CPR or required training. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Medications for three out of three residents are not being administered per physician order. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided along with appeal rights.the state’s words, verbatim · CDSS document, Dec 26, 2025

The state marks this report as 10 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a case management. LPA was greeted and granted entry into the facility and explained the reason for the visit. LPA conducted health and safety check with Administrator. Currently the facility has 2 residents in care. LPA Mendivil advised Administrator Saleem about required documentation in the entrance of the building. No deficiencies noted today. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 12, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jerome Haley made an announced visit to conduct the second pre-licensing inspection. LPA Haley was greeted and granted entry by Applicant Hashim Moosani. Upon entering the facility, LPA Haley toured the facility with the applicant and during a tour of the facility observed the following items have been corrected: Corrections: 1) Repair or replace the fan/light on the stove/oven. – Fan and light on the stove are working properly after Applicant had the new equipment installed. 2) Remove/cover exposed wires – All exposed wires have been covered. 3) Clean all ceiling fans – Ceiling fans are clean and all dust has been removed. 4) Replace missing blinds in the living room sliding glass door – All missing blinds have been replaced, brand new blinds were observed on the sliding glass door. 5) Additional non-perishable food items – A supply of nonperishable items was observed in the kitchen. 6) Non-skid matts for showers – Both showers now have nonskid matts. All corrections have been made and the facility is ready for licensure. Component III was presented to applicant Hashim Moosani at the end of the inspection. An exit interview was conducted and a copy of this report was provided to applicant Hashim Moosani.the state’s words, verbatim · CDSS document, Dec 9, 2024

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Jerome Haley made an announced visit for the purpose of conducting a pre-licensing evaluation. LPA Haley was greeted and granted entry by applicants Hashim Moosani and Saleem Moosani. Structure: The facility is a single level structure, with an attached garage. There’s a total of 4 bedrooms (3 resident and 1 staff), one living room space, one dining area, and two bathrooms. Bedrooms (Residents): All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Grab bars are tightly secured. Hot water temperature measured at 119.6 degrees Fahrenheit in bathroom 1 and 117.8 degrees Fahrenheit in bathroom 2. Kitchen: 4 of 4 burners were operational on the gas stove. Sharps are locked in a kitchen drawer near the stove. Hazardous chemicals are locked under the sink. Food Service: There’s a perishable food supply that meets regulation requirements. A nonperishable food supply was observed. Laundry: There's a laundry area in the garage with a washer and dryer. Toxins: All toxic chemicals and cleaning solutions are locked under the sink in the kitchen or in the garage and inaccessible to residents in care. Resident & Staff Files: Resident and staff files are stored in a locked cabinet above the locked medication cabinet in the kitchen. Medications/First-Aid Kit: Medications are store in the kitchen in a locked medication cabinet near the refrigerator. There’s a first aid kit equipped with all the necessary elements in the locked medication cabinet. Linens & Hygiene Supplies: An additional supply of linen is stored in the garage. Backyard/Exterior: There’s a large backyard with self-latching side exit gate. A shaded patio area with a table and reclining style chairs was observed. Additional chairs and tables were observed on the patio area. Bodies of Water: No bodies of water observed. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Continued on LIC809C Fire Extinguisher: Observed full charged mounted on the wall in the kitchen near the dining room. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Are posted on the wall near the entrance. Readily available for review is an emergency disaster plan, a list of emergency phone numbers, and personal rights. A sample menu is posted in the kitchen on the refrigerator. Component III: Is not ready to be presented at this time. Component III will be presented after corrections are made and the follow up visit is completed. Corrections: The applicant has corrections to make before the facility is ready to be licensed. 1) Repair or replace the fan/light on the stove/oven. Fan/light is not operating. 2) Remove/cover exposed wires in the living room (ceiling) & bedrooms (ceilings) 3) Clean all ceiling fans 4) Replace missing blinds in the living room sliding glass door. 5) Additional non-perishable food items (can goods) 6) Non-skid matts for showers A follow up visit will be scheduled one Applicants have completed the necessary corrections. An exit interview was conducted, and a copy of this report was provided to applicant Saleem Moosani.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Hashim Moosani (applicant/licensee, administrator) Interview Method: Microsoft teams On 10/25/24, 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, Oct 25, 2024