Routine inspection·May 1, 2026

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required- 1 year visit. LPA met with the Executive Director, Rosario Munoz and LPA explained the purpose of the visit. The facility is licensed to serve for a capacity of 41 residents (34) ambulatory, maximum of (7) non-ambulatory restricted to Braemar cottage. Facility served elderly ages 60 and above and may retain (6) hospice residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: Infection Control Plan is in place. Infection control practices and Personal Protective Equipment (PPEs) were maintained. Bathrooms have hygiene items such as paper towel, hand soap and toilet paper. Staff are adhering to infection control requirements. Operational Requirements: The facility has an approved fire clearance; there is a plan of operation with required Infection Control Plan. LPA observed valid Liability insurance and valid Surety Bond in place. Physical Plant/Environment Safety: There are 6 different cottages (Lambert, Ramona, Foskett, Shafer, Armstrong, Braemar, and Jameson) and each contains resident rooms, living room, small dining room, kitchen, and a laundry room. The main dining room and kitchen are located at the Armstrong building. LPA randomly selected resident rooms to inspect. They are clean and have the required furnishings. LPA did not observe a signal system in place. Extra linens, towels, and blankets are stored in the Braemar’s Laundry room. There are no items obstructing the walkways. The front grounds of the facility are well landscaped and have a leveled walkway to the entrance. [Continue LIC809-C] Physical Plant/Environment Safety [Cont.]: No large bodies of water were observed. There are no security bars or weapons on the premises. The facility has central air and heating accommodations. The hot water temperature was tested throughout the facility and LPA measured between 109.7 degrees F to 120.0 degrees F which is within Title 22 Regulation guidelines. Storage areas for cleaning solutions, toxic, knives, and hazardous items were secured in a shed and made inaccessible to residents. LPA observed six (6) fire extinguishers were observed to be fully charged and last inspected on 04/30/2026. The facility has carbon monoxide detectors in each cottage. Carbon monoxide detectors were tested and working properly. LPA observed fire panels and the last fire alarm test and inspection was conducted on 4/8/2026. A shaded area with chairs is provided to the residents. Staffing: A total of 24 staff members including the Administrator provide care and supervision to the clients. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and are associated to the facility. Personnel Records-Training: LPA reviewed five (5) staff files that include Personnel Record/Job Application, Criminal Background Clearance, Health Clearance, TB Clearance, Food Handling Certificates, and 1st Aid/CPR/AED training, and Employee Rights. Administrator’s Certificate expires 04/06/2028. Resident Rights-Information: Resident personal rights, complaint hotline information and visitors policy posters are posted in the lobby by the main entrance. The facility provides internet service to all residents and have access to the facility phone. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. An activity calendar is posted in the dining room and in each cottage. The facility has a Resident Council. Food Service: The kitchen was inspected and the food preparation area and storage areas were observed to be clean and sanitary. Sufficient food supply is stored in the kitchen and pantry areas consisting of 2-day perishables, 7-day non-perishables, and emergency food supplies. Currently, there are four (4) residents with modified diets. Sanitation practices and kitchen cleanliness was observed. Incidental Medical and Dental: LPA reviewed five (5) residents’ medications. Medications are given as prescribed. Medications are centrally stored and locked in the medication room located in the Jameson cottage. Resident medications which are centrally stored contain 30-day supply of medications. Medical and dental transportation is provided. Resident Records-Incident Reports: Resident files are kept in a secure location. LPA reviewed five (5) resident files which include Face Sheet, Pre-admission Appraisal, Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information, Physician's Reports (TB Clearance and Ambulatory Status), Functional Capability Assessment, and Resident Personal Rights. LPA observed client P & I records. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least two (2) relocation sites. Facility conducts fire drill at least quarterly for each shift. Last fire drill was conducted on 04/08/2026. Residents with Special Health Needs: There are two (2) residents receiving hospice care in the facility. Staff provide support care and supervision appropriate to meet the need of the residents receiving care from a Hospice agency. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies observed during today’s visit. Exit interview was held and a copy of the report was provided to the Executive Director, Rosario Munoz.