Routine inspection (multi-day)·September 22, 2025

On 09/22/2025 at 9:10 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual-Continuation Required inspection. LPA met with Administrator, Gina Velayo and explained the purpose of the visit. On 09/19/2025, LPAs toured the facility inside and out including but not limited to 10 residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 74 degrees F. The hot water temperature in a sample of residents’ shared bathrooms were measured at 109.8, 94.4, 89.8, 90, and 93.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats and non-skid shower pan. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/07/2025. Emergency Disaster Plan was last posted on 01/20/2025. First aid kit was observed to be complete. Fire drill was last conducted on 05/04/2025. On 09/19/2025 at 10:28 PM, LPA reviewed 7 residents records. At 11:20 AM, LPAs reviewed 6 staff records. 6 of 6 staff have current first aid training and are associated with the facility. At 3:04 PM, LPAs reviewed 3 samples of residents’ medications. Continue to LIC809-C... Continue from LIC809... THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: On 09/19/2025 at 3:23 PM, LPAs observed multiple boxes of sugar dated 05/01/2019 and expired in 2021. LPAs observed canned goods and opened pasta not properly labeled. LPAs observed mineral oil in a Purell Surface Disinfectant Spray bottle. On 09/19/2025, starting at 9:20 AM, LPAs observed broken toilet, mattress, holes in memory care resident's room, broken dresser handle, resident's toilet covered in feces, dirty shower, air condition, washing machine, portable heaters in the library area on second floor, etc. LPAs observed odor in resident's room and the air conditioning broken in the dining hall. On 09/19/2025 at 1:00 PM, LPAs observed the hot water temperature measured between 89.8 degrees F and 94.4 degrees Fahrenheit. On 09/19/2025 starting at 2:41 PM, LPAs observed disinfectant spray, acetone nail polish remover, Arm & Hammer Odor Blaster, laundry detergent, Lysol spray, etc., in multiple areas at the facility unlocked and accessible to residents' in care. On 09/19/2025 starting at 2:41 PM, LPAs observed hydrocortisone cream, Ketoconazole 2% shampoo, prescribed cerave face wash, saline wound cleanser, One day Vitamin, etc., in residents' room unlocked and accessible to residents' in care. On 09/19/2025 at 3:45 PM, LPAs observed pre-poured medication in the janitor's room. Interview with Assistant Administrator revealed that medications was pre-poured for the next day. On 09/19/2025 at 3:47 PM, LPAs observed resident's family member residing in the resident's room Continue to LIC809-C... Continue from LIC809-C... On 09/22/2025 at 11:30 AM, LPAs observed that that R1, R2, R4, and R7 does not have an updated LIC625 Appraisal Needs and Services Plan. The Facility was 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 with Administrator. Appeal Rights and a copy of this report provided.