Inspection Report Summary
Most inspections found no deficiencies, with the most recent report from June 27, 2025, noting only one minor deficiency related to missing items in the first aid kit, which was otherwise well stocked and compliant with safety requirements. The May 27, 2025, inspection found no deficiencies and confirmed the administrator’s understanding of relevant regulations. There were no complaints or enforcement actions during this period, and no fines or license issues were listed in the available reports. The minor first aid kit issue was addressed by purchasing new supplies, indicating attention to compliance. Overall, the facility appears ready for licensure and shows a positive compliance trend.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Original Licensing
Census: 5
Capacity: 15
Deficiencies: 1
Jun 27, 2025
Visit Reason
The inspection was conducted as a pre-licensing visit for a Change of Ownership application with residents in care, including review of fire clearance and hospice waiver requests.
Findings
The facility was found to be in compliance with licensing requirements, including adequate food supply, safety features such as sprinkler system and fire extinguishers, and proper storage of medications and sharps. A new first aid kit was purchased during the inspection to address missing items. The facility was deemed ready for licensure.
Deficiencies (1)
| Description |
|---|
| First aid kit lacked an approved first aid manual, scissors, and tweezers. |
Report Facts
Residents non ambulatory: 8
Residents bedridden: 7
Hospice waiver requested: 8
Bedrooms for residents: 9
Bedrooms for staff: 2
Perishable food supply days: 2
Non-perishable food supply days: 7
Facility capacity: 15
Current census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Shrikant Kakani | Applicant | Met with Licensing Program Analyst and accompanied during inspection |
Inspection Report
Original Licensing
Census: 5
Capacity: 15
Deficiencies: 0
May 27, 2025
Visit Reason
The visit was conducted as part of a Change of Ownership application and pre-licensing readiness evaluation for a Residential Care Facility for the Elderly.
Findings
The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, emergency preparedness, and complaint reporting. No deficiencies were explicitly stated in the report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shrikant Kakani | Administrator | Applicant/administrator who participated in COMP II interview and was met during the inspection. |
| Biridiana Cisneros | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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