Sacred Hands Living Iii

On 07/30/2025 at 10:00AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Administrator Rajwant Kaur Panesar and explained the purpose of the visit. The fire clearance was approved for four (4) ambulatory, one (1) non ambulatory and one (1) bedridden resident. The facility has no residents at this time. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) bedrooms and two (2) bathrooms. four (4) bedrooms for residents, one (1) staff bedroom. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. LPA observed no residents at the facility during the time of visit. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed one room with two beds; the other rooms are empty. The hot water temperature in the resident’s shared bathroom was measured at 110.5 degrees Fahrenheit. Clients’ bathrooms are equipped with grab bars and nonskid mats. Facility does not have 2-day perishable food and one week non-perishable food supply, LPA advised Administrator that once facility has new residents this regulation should be followed. Continued LIC809C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809 Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 07/11/2025. Emergency Disaster Plan was last posted 06/15/2025. First aid kit was observed to be complete. No fire drill has been conducted; facility doesn't have any residents. Two (2) staff files was reviewed, Administrator advised LPA of last residents moved out in March 2021, no resident’s files were reviewed during visit. The following forms to be updated and submitted to CCLD by 08/06/2025: LIC500- Personnel Report LIC308- Designation of Facility Responsibility LIC610E- Emergency/Disaster Plan including infection control plans Evidence of Liability Insurance Administrator Certificate No Deficiencies cited during visit. Exit interview conducted and a copy of this report provided

On 07/22/2024 at 2:03PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Administrator Rajwant Kaur Panesar, and explained the purpose of the visit. Administrator advised LPA of there being no residents at the facility and that the three(3) residents were moved with their family knowledge. One (1) resident was moved to the Administrator's other facility Sacred Hands I. The other two(2) residents (husband and wife) were moved by their daughter to a facility closer to family.

Facility does not have sufficient staff to meet the needs of the residents: LPA reviewed staff schedules for August and September 2023. LPA observed that there are at least 2 staff on duty from 6am to 10pm 7 days a week. Staff did not adequately supervise a resident, resulting in resident wandering out the front door of the facility: Based on staff interviews and observation there are no residents at the facility who exhibit wandering behavior. This agency has investigated the complaints alleging staff restrained resident in their wheelchair, facility does not have sufficient staff to meet the needs of the residents, staff did not adequately supervise a resident, resulting in resident wandering out the front door of the facility. Based on LPA's observations and interviews which were conducted, we have found that the allegations were unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted, a copy of this report provided.

On 10/06/23 at 11:00 a.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Rajwant Panesar and explained the purpose of the visit. The facility’s fire clearance was approved for 6 clients. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms of which 4 bedrooms are for the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the kitchen sink was measured at 116.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 4/04/23. Emergency Disaster Plan was last posted on 6/01/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 6/01/23. At 11:30 a.m., LPA reviewed 3 residents records. At 11:45 a.m., LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. At 11:15 a.m., LPA reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/11/23: LIC610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 8/18/2022 at 11:46 AM Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct an annual infection control inspection. LPA met with Administrator PANESAR, RAJWANT KAUR. Facility do not have any residents in care, per Administrator the last residents they had was last March 2021. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen and backyard. No bodies of water. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. No medications for residents during the visit but there are centrally stored in a locked area inside the facility. Since facility do not have any clients for almost a year, facility has don’t have 2-day perishable food and one-week non-perishable food supply, LPA advised Administrator that once facility have new clients, this regulation should be followed. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a mitigation plan and LPA requested copy of infection control plan by 8/26/2022. No deficiency cited during the visit. Exit interview conducted. Copy of this report provided.

On 8/20/2021 at 10:15 AM Licensing Program Analyst (LPA) Leslie Ibo arrived unannounced to conduct an annual infection control inspection. LPA met with Administrator PANESAR, RAJWANT KAUR. Facility do not have any residents in care, per Administrator the last residents they had was last March 2021. LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, garage ,kitchen and backyard. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Medications are can be centrally stored in a locked area. Facility has enough one-week non-perishable food supply LPA reminded Administrator to make sure to have available 2 days perishable food for residents in care once she starts admitting new residents. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiency cited during the visit. Exit interview conducted. Appeal Rights and copy of this report provided.