Routine inspection·March 13, 2025

03/13/2025 09:45 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Executive Director in training April Kale and Jaluisa Tippens Resident Care Director and explained the purpose of the visit. LPA Knight and the Executive Director in training toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to resident apartments, bathrooms, common areas, kitchen, laundry rooms, activity area, and yard. LPA toured both floors of the assisted living section of the facility and the lower floor memory care unit. Staff and resident files were reviewed. All employees requiring background checks are cleared. Facility has a hospice waiver for 10 residents. Medication is locked in a secured medication room. Medications were reviewed. The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. All inspected rooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational, hard wired to the fire department and tested annually by Johnson Controls. There are no pools/bodies of water are on premises. Last disaster drill was conducted in May 2025, which was an elopement drill, the facility has been conducting fire drills quarterly for each shift. Continued on LIC809-C There is a schedule of recreational activities planned for the residents and residents participate in the activities of their choice. During the inspection LPA observed residents participating in activities with the activities director. During the visit LPA observed a community choir performing in the memory care unit and assisted living portions of the facility. LPA requested the following documents that need to be updated in the facility file: LIC500 Personnel Report The following deficiencies were observed during the inspection: During tour of the facility LPA observed laundry detergent accessible to residents in 2 of 2 assisted living laundry rooms. During staff files reviews LPA observed that first aid training expired for 4 of 6 staff files. 1 of 6 staff files did not include first aid training. Deficiencies are being cited as a result of today’s inspection in accordance with California Code of Regulations, (Title 22) and are documented on the attached LIC809-D Exit interview conducted and copy of report and appeal rights were provided to Executive Director in training April Kale.