Routine inspection (multi-day)·August 19, 2025

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a second Case Management - Annual Continuation visit at 10:47AM continuing the inspection that began on 06/13/2025 and was continued on 08/05/2025. LPA met with Director of Nursing (DN) Jessica Saks and Executive Director (ED) Allison Marty. Entrance interview conducted. Beginning at 12:07PM, the LPA, along with ED Marty, DN Saks, Director of Plant Operations (DPO) Miguel Castenada, and Los Angeles County Public Health Environmental Health Specialist Edgar Antonyan toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: FACILITY LAYOUT: The facility has three (3) buildings, which are named Building A, Building B, and Building C. The facility has three hundred thirty-six (336) units. Building B has a Memory Care Unit on the seventh (7th ) floor and there are three (3) delayed egress doors on the seventh floor. At 03:37PM, LPA tested one (1) delayed egress door and staff responded promptly. Buildings A and C are primarily for independent living, while Building B is for assisted living, mezzanine living, and memory care. KITCHEN: At 12:28PM, the LPA observed the kitchen to have a sufficient supply of perishable and non-perishable food at the time of the visit. Appliances in the kitchen were clean and appeared functional. Snacks and beverages are available for residents in the Bistro. Food is prepared in the main kitchen, which is located in Building A on the second floor and is delivered to the separate dining rooms. Emergency water supply is stored in locked storage rooms on every floor. Report Continued on LIC 809-C . BEDROOMS: The LPA toured a total of thirty-seven (37) resident rooms. LPA observed four (4) resident rooms in the Memory Care (MC) Unit. Rooms in the memory care unit are single occupancy and have no appliances. Lighting in the rooms appeared adequate. The rooms are equipped with beds, nightstands, lamps, chests of drawers, chairs and closet space. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. The rooms in Building A, Building B, and Building C (excluding the 7th floor Memory Care Unit) are equipped with a refrigerator, microwave, and sink, and in-unit washer and dryer. The rooms in Building A, Building B and Building C are majority single occupancy, with the availability of double occupancy in some rooms. The LPA toured thirty-three (33) additional resident rooms, with eleven (11) in each of the three (3) buildings. All rooms were observed to be in compliance. BATHROOMS: LPA observed the bathrooms to be equipped with grab bars near the toilet and shower/tub, and slip-resistant surfaces and mats were observed in the shower/tub. LPA tested hot water temperatures in resident bathrooms and were measured to be between 109.2 and 116.6 degrees Fahrenheit, which is within the required range. At 12:42PM, LPA pulled the signal cord in resident restroom and staff arrived promptly in response at 12:43PM. AMENITIES/COMMON AREAS: Building A has the following amenities and common areas: offices spaces, conference rooms, mail room and the bistro are located on the first floor. One (1) theater is located on the first floor and a second theater is located on the second floor. The main kitchen and dining area are located on the second floor. The second-floor amenities include: art room, the tavern with locked cabinets, the marketplace, the activity/simulator room, wine cellar, outdoor terrace, and assisted living gym. The third floor has a covered outdoor area with outdoor furniture for resident use and a wellness center. Building B has the following amenities and common areas: pet washroom, salon, activities/conservatory room and a community garden. Throughout Building B there are community rooms and covered outdoor areas for resident use located on the third floor. Building C has the following amenities and common areas: a fitness center with gym equipment, a yoga room, a juice bar, a physical therapy room, a massage room, a laundry room and a salon. There is an in-ground pool which is kept locked on the first floor of Building C. Report Continued on LIC 809-C . COMMON AREAS: The signal system can be activated in the resident bedrooms and restrooms by a pull cord. Residents also have pendants they can wear to signal staff. All systems go directly to a computer at the front desk and to hand-held devices. Designated staff carry a handheld device, which displays the location of the alarm that has been pulled. Staff also utilize walkie-talkies to communicate accordingly. There are cameras observed in exterior perimeter, in various community hallways, and throughout the MC unit. The community’s smoke detectors and carbon monoxide detectors are hard wired. The fire extinguishers are located on every floor in each building and were observed to be fully charged and serviced on 04/22/2025. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in the hallways. The emergency telephone numbers are posted in the entryway. Other required postings are posted on the first floor of Building A, near the mail room and the common hallway. The LPA observed the Ombudsman Poster and DSS Complaint Poster throughout the community. OUTDOOR AREAS: LPA toured the outdoor perimeter and observed self-latching gates. All exits were observed to be clear and free of hazards. INTERVIEWS: During today's visit, LPA interviewed five (5) residents and six (6) staff. No citations issued. Exit interview conducted and a copy of the report was provided.