Routine inspection·October 30, 2025

On 10/30/2025 at 8:40 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Executive Director, Beena Kumar and explained the purpose of the visit. LPAs toured the facility inside and out including but not limited to 7 residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. The hot water temperature in a sample of residents’ shared bathroom was measured at 105, 106.3 109.2, 110.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors, fire alarm, and carbon monoxide detectors were last tested on 08/15/2025 by Cintas. Fire extinguisher was last serviced on 06/06/2025. First aid kit was observed to be complete. Fire drills were last conducted on 09/18/2025. At 10:00 AM, LPAs reviewed 6 staff records and 6 of 6 are associated to the facility. At 12:40 PM, LPAs reviewed 6 residents records. At 2:30 PM, LPA reviewed two samples of residents’ medications. Continue to LIC809-C... Continue from LIC809... Updated copies of the following document were requested for facility file and are to be submitted to CCL by 11/07/2025: LIC 500 Personnel Report THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:30 AM, LPAs observed R7's toilet, window blinds, and shower soap bar holder in disrepair. At 11:38, LPAs observed R3 and R4 with a paper towel holding the emergency call light button up. At 10:39 AM, LPAs observed 3 tubs of paint in R1's room. LPA observed Lysol wipes and cleaning spray in R2's room. At 10:44 AM, LPAs observed the tool shed unlocked in the courtyard of the memory care unit. At 10:56 AM, LPAs observed Antibacterial Bissell, Alcohol Antiseptic, staff eyedrop in the backpack, etc. in the memory care unit dining hall. At 11:00 AM, LPAs observed expired sesame sauce, soy sauce, Hershey chocolate powder, etc. At 3:30 PM, LPAs observed that the facility did not have the current liability insurance on file. 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 Executive Director. Appeal Rights and a copy of this report provided.