Temple Court

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver Niki Bonovich, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Administrator Ruzedana Rahman arrived shortly after. Facility Overview: The facility is a single story building composed of five (5) residents bedrooms, three (3) bathrooms, a living room and a kitchen area, a garage and a storage. There is no gated pool or no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in kitchen cabinet and inaccessible to residents. The smoke detector and carbon monoxide detector were in good working condition. LPA observed fire extinguisher to not be in compliance with the department's requirements, fire extinguishers in facility were last checked 4/2024. The water temperature was tested within regulations measuring at 118.6 F. Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The administrator holds a current administrator’s certificate with expiration date of 11/11/2027 and CPR of 2/5/2027. Record Review and Resident/Staff Files: LPA reviewed files for three (3) staff members, confirming criminal clearance, updated training, and CPR/First Aid certification. Two (2) clients files were reviewed and contained all required documentation. LPA observed first aid kit to be locked and inaccessible to the clients in care. The clients and staff files were inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All clients medications were securely locked in a kitchen cabinet. LPA reviewed medications for two(2) clients, confirming that all medications were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 2/10/2026 , which met department requirements. All facility exits were clear of obstructions. Deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee/Administrator Ruzedana Rahman.the state’s words, verbatim · CDSS document, May 4, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an announced pre-licensing inspection at the facility and met with Licensee Mohammad Rahman Application: The inspection is a Change of ownership (CHOW) for a Residential Care Facility for Elderly (RCFE). The Murrieta Fire Department approved a fire clearance on 09-25-2024 for six (6) non-ambulatory clients among which bedroom one can be bedridden. Buildings and Grounds: The facility is composed of five (5) residents bedrooms, one (1) office, three (3) bathrooms, a living room and a kitchen area. Water temperature was measured at 105.6 F. The interior and exterior walkways of the facility were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were in working order. There is a no pool and there are no weapons stored in the facility. Client bedrooms are fully furnished, and privacy is available. Outdoor areas have sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The facility has a working phone witnessed by calling the phone number. Storage and Supplies: Medications, residents and staff files will be stored in a locked cabinet in the kitchen area, inaccessible to any unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies will be stored under the kitchen sink. Linens, and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of April 04th, 2025. Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives will be stored in a locked cabinets in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: Personal Rights, Complaint information, Emergency disaster plan, the facility sketch. LPA verified the Administrator's Certification, with an expiration date of February-11-27, and CPR certification with the expiration date of February-05-27. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. The applicant completed Comp III on February 11, 2025. LPA determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete and has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and a copy was provided Licensee Mohammad Rahmanthe state’s words, verbatim · CDSS document, Feb 14, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 3 COMP II Participants: Muhammad Zohaib Alvi (applicant/licensee); Ruzedana Rahman (administrator) Interview Method: Teams On 12/24/2024, 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 24, 2024