Arlington Heights Assisted Living and Memory Care.

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification, two staff presenting with language barrier. Arsalan Syed arrived within a few minutes and Administrator Saher Choudry arrived afterwards. There is an Infection Control plan on file. Resident record review began- Four (4) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Employee records review began- Two (2) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and administrator certification was renewed and pending. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 118.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in the garage. (Continued on LIC809, Page 2) 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, Page 1) All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. Food Service- Food supply meets the requirement of one week supply of nonperishable and 2-day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation, and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 05/16/2025. The facility is conducting emergency disaster drills quarterly. The last disaster drill was conducted on 05/16/2025. There are no bodies of water observed and no firearms stored at this home Based on the information received during this visit today, there are one (1) deficiency with Civil penalties for $1000 is being cited/assessed per Title 22, Division 6 of The California Code of Regulations. At the time of the exit interview, this report, LIC809-D, LIC421IM and Appeal Rights was reviewed with Saher Choudry and copies will be sent by email due to LPA printer issues. LPA will request a confirmation of receipt.

Licensing Program Analyst (LPA) Yolanda Delgado conducted a case management visit for residents in care, during the visit, there were working utilities, food supply was sufficient, staff available to provide care & supervision; it was discovered one (1) of two (2) staff did not have criminal background clearance. No residents were observed to be without basic needs and services. Facility will be cited for 87355(b) with civil penalties of $500 and plan of correction is due 12/10/2024. An exit interview was conducted with Saher Choudry and a copy of this report, 809-D, LIC421BG and appeal rights were provided.