Routine inspection·March 25, 2025

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an annual inspection visit on 3/25/2025 and was greeted by Administrator Diana Medina. LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a main street and has multiple dwellings. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected eight (8) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in grooming and bathing areas were measured to be over 120 degrees F. LPA Ramirez will issue Type A deficiency based on this observation. LPA Ramirez will issue $250 civil penalty due to repeat violation. On 4/26/24, the facility was cited during an annual inspection for violation of 87303(e)(2). LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip coating in showers. LPA Ramirez observed seated shower chairs in bathrooms. Water temperature in 2 nd floor laundry room sink, was measured to be over 125 degrees F. No warning signs indicating water may go above 125 degree F was observed. This laundry room is accessible to residents. LPA Ramirez will issue Type A deficiency based on observation. Food Service: LPA Ramirez observed sufficient supply of nonperishable for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. LPA Ramirez observed several residents engaging in seated exercises in the facility memory care activities room. SEE 809-C for continued report. Operational Requirements: The fire clearance is approved for one hundred (100) ambulatory residents and eighty-five (85) non-ambulatory residents, over the age of 59 years. Twenty (20) non-ambulatory on 1 st floor of main building and thirty-two (32) non-ambulatory on the 2 nd floor of main building. Thirty-three (33) non-ambulatory in memory care building. The facility has a hospice waiver approved for eight (8). There were two (2) residents on hospice during inspection. Due to time restraints, LPA Ramirez will return to complete annual inspection. Two (2) deficiencies were observed. A copy of this report, 809-D, LIC 421FC repeat violations, and appeals rights was provided.