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Inspection visit

Routine inspection

MASONIC HOME FOR ADULTSLicense 0114401292 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

At around 10:00AM, Licensing Program Analysts (LPAs) K. Nguyen and L. Alexander arrived unannounced to conduct an annual required inspection and met with Back up administrator Gladys Nulph hold an administrative certificate: 7017770740 effectives 9/27/25 to 9/26/27. Executive Director, Soledad Martinez was not available at the time of visit. This facility is a Continuing Care Retirement Community (CCRC). The facility provides independent, assisted living and memory care. LPAs with Gladys inspected the following: total of 5 rooms in independent living, assisted living and memory care, kitchen, dining area, activity room and other common areas. All showers/bathrooms were observed with bars and non-skid floors. Multiple fire extinguishers were observed in different locations that appear full and were inspected on 01/05/26. LPAs observed sufficient supply of perishable and non-perishable foods. Hot water temperature measured at 106.8 degrees Fahrenheit in different rooms checked. Memory Care unit has a delayed egress system that was observed functional. Maintenance log for facility generator indicates last weekly inspection was conducted on 12/23/2025 and last monthly test was done on 12/30/2025. Facility has a current disaster plan and supplemental emergency disaster plan dated 11/13/2025. First aid kit was observed complete. Last disaster drill was conducted on 1/23/2026 (lasted 5 days). Liability insurance effective date from 4/1/2025 to 4/1/2026. Reports continued on LIC 809c… LPAs inspected the Wollenberg Building which has 30 Memory Care residents, and Pavillion Building which consist of all AL residents. LPAs reviewed 12 staff and 14 resident files 12 out of 12 staff have health clearance on files. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: · At 1:36 PM during touring of the facility LPA observed assisted living R1's have unlocked medication inside R1’s bathroom cabinet including but not limited to Calcium Antacid, Selenium and Tylenol. · At 1:37PM during touring of the facility LPA observed assisted living R1's have unlocked chemical inside R1’s bathroom cabinet including but not limited 70% Isopropyl Alcohol. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87309(a)Type A

    Based on observation, interview, and record during touring of the facility LPA observed assisted living R1's have unlocked chemical inside R1’s bathroom cabinet including but not limited 70% Isopropyl Alcohol the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation, during touring of the facility LPA observed assisted living R1's have unlocked medication inside R1’s bathroom cabinet including but not limited to Calcium Antacid, Selenium and Tylenol. the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 24, 2026 inspection of MASONIC HOME FOR ADULTS?

This was a inspection inspection of MASONIC HOME FOR ADULTS on February 24, 2026. 2 citations were issued: 2 Type A (serious).

Were any citations issued to MASONIC HOME FOR ADULTS on February 24, 2026?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on observation, interview, and record during touring of the facility LPA observed assisted living R1's have unlock..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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