Routine inspection·March 28, 2025

On 03/28/2025 Licensing Program Manager (LPM) Ulysses Coronel and Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced annual required visit using the CARE Inspection Tool. CCLD staff met with Administrator David Hone and explained the purpose of today’s visit. The facility is licensed to serve a maximum 187 non-ambulatory residents of which 15 may be bedridden. Bedridden only in building E, 2nd floor. Ages 60 and above. Approved hospice for 25 clients. First floor all delayed egress memory care unit . The facility consists of 5 buildings and have a Memory Care Unit, Assisted living, and independent living. The facility is in a residential neighborhood. It has 98 independent living rooms, 18 assisted living rooms, 9 memory care rooms, 28 skilled nursing beds, 12 common bathrooms, 2 laundry areas, Kitchen, kitchenettes & dining area, activity area, lounges, and outdoor shaded patio areas with tables and chairs. CCLD staff and Administrator toured the physical plant. Rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. Bathrooms were operational, . A comfortable temperature was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and 2 days supplies perishable, and 7 days non-perishable food was maintained. Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA conducted an audit of 5 resident records, and 5 personnel records. The facility is current in CCLD annual license fees. The administrator certificate for is valid . The facility has a Liability Insurance Certificate valid through 01/01/2026. The following deficiencies were observed during today’s visit : The hot water temperature measured between 122-123 degrees F in rooms E211, E203 and C302. Caregiver S3's Criminal Record Clearance was not transferred to the facility. Title 22, Division 6 Chapter 8 is being cited please see LIC809D. An exit interview conducted, and plans of corrections were developed with Dave Hone. A copy of the report and appeals rights were provided.