Routine inspection·August 12, 2025

Licensing Program Analysts (LPA) Zabel Chochian conduct a required annual visit at this facility. Upon arrival, the LPA was greeted by staff and also the Administrator, Rose Anguiano. Reason for the visit was stated. Entrance interview conducted with Administrator. LPA confirmed that the facility is operating according to the original facility plan of operation submitted and no changes have been made since licensure. Administrator acknowledged understanding that no changes can be made to the facility plan of operation unless it is approved by LPA/the department. - following updated records request were requested and obtained: facility residents and staff roster; fire and smoke alarm tests; dieticians report; facility's current liability insurance; Emergency and disaster plan. LPA, staff and the Administrator toured the physical plant areas inside and outside to ensure facility is in compliance with Title 22 Regulations from approximately 10:45am-12:45pm. COMMON AREAS: At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detectors are tested and maintain operational. The fire extinguishers observed fully charged and were last serviced 01/23/2025. The LPA observed required postings throughout the common space. The LPA observed five (5) stairwells; each have an emergency evacuation chair on the 2nd floor. RESIDENT BEDROOMS & RESTROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. At approximately 11:22am, Room 110 floor observed discolored; room 107 restroom cabinet in disrepair (not closing properly); room 212, window shades not closing and non skid strips peeling off in bath tub; room 215 missing screen and torn shower curtain; room 259, window shades missing; (inactive) wiring observed in the bathroom near the wall and towel rack; room 263, shower head not secured to wall; room 272, no hot water; no window shades; night stand drawer observed broken; Memory care common shower room shower head needs to be secured to the wall. (Continue to LIC809c). Resident restrooms observed stocked with sufficient supply of toiletries; towels and hygiene items for each resident (towels and wash clothes are not shared). Restrooms observed with grab bars and non-skid surfaces. KITCHEN: The kitchen/food service area and emergency food/water supply was checked at approximately 1pm-1:45pm; Knives are stored and inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable items for at least 2 days and non-perishable food items for at least 7 days. Facility also has an emergency food and water supply which is rotated out accordingly. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE), and is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. According to Administrator and staff the facility infection control policy and procedures are followed accordingly. MEDICATIONS: Medications reviewed from approximately 2pm-3pm. The medications are centrally stored in the medication room on the first floor. Medications are labeled and stored inaccessible. Random sample of (four) 4 residents medications reviewed revealed that staff are not properly documenting the expiration and fill dates on the centrally stored medication and destruction log/record. Also the preprinted centrally stored medication records that the facility receives from the pharmacy observed with inaccurate expiration dates recorded on the centrally stored log/record. Due to time constraints the annual inspection will continue to a later date. LPA will return at a later date to review resident records, staff files and training records. The following deficiencies observed during today's visit are cited (see 809D) from the California Code of Regulations, Title 22 and California Health and Safety Code. Exit interview conducted. A copy of the report and appeal rights were issued.