Routine inspection·August 14, 2025

On 8/14/2025 at 9:30 AM, Licensing Program Analysts (LPAs) L. Alexander and Y. Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with, Care Specialist, Kelley Jeffries, and explained the purpose of the visit. Assistant Executive Director, Deborah Bradley and Interim Executive Director Ricardo Romero were in a meeting but joined after an hour. The facility’s fire clearance was approved for two-hundred (200) non-ambulatory. Hospice waiver approved for twenty (20). LPAs toured the facility with Deborah including but not limited to six (6) residents’ apartments, two (2) models, bathrooms, multiple activity rooms, kitchen, common area and outside 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 bathroom were measured at 132, 135, 137 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Emergency fire drill was last conducted on 08/3/2025. Emergency disaster plan was last updated 08/01/2025. LIC809-C Continued.... LPAs reviewed eleven (11) residents records. LPAs reviewed seven (7) staff records and six (6) out of seven (7) have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:33am unlocked prescription medications prescribed to R1's daughter: located in kitchen cabinet and refrigerator including but not limited to syringes, injection medications, Ibuprofen 200mg, and an expired medication (08/31/22). Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 08/21/2025: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed Current Administrator’s Certificate 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.