Routine inspection·February 10, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 11:02 AM. LPA met with facility staff who contacted the facility Administrator Christina Gomez. The Administrator arrived to the facility at 11:15 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at approximately 11:20 AM the LPA, along with the facility Administrator 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: COMMON AREAS : This includes the TV room, Activity room, hallway, and dining area. LPA observed the TV room and activity room to be clean and properly furnished at the time of the visit. These rooms contained a television, adequate seating, and activities for resident use. The hallway was observed to be clean and free from any obstructions. The hallway contained locked storage closets which contained storage for linens, cleaning chemicals, decorations, maintenance supplies, and care supplies. The dining area was observed to be equipped with adequate seating for resident use. The entryway and lobby contained all required postings. LPA observed a hallway closet to contain adequate emergency food and water supplies for the facility. The facility’s fire detection system were tested by Advance Building Protection and was certified through 03/31/2026. LPA observed the hallway to contain wall mounted fire extinguishers which were fully charged and were last serviced on 11/22/2024 and 01/18/2023 which is outside of the range required by regulation. LPA informed the Administrator who agreed to have a technician come out to service all fire extinguishers in the facility. All exits in the facility were observed to be free from any obstructions. LPA observed cameras located throughout the common areas of the facility. Continued on LIC 809C. BEDROOMS : There are sixty four (64) bedrooms in the facility; five (5) are dual occupancy resident rooms, fifty nine (59) are single occupancy resident rooms. LPA and the Administrator toured ten (10) bedrooms. All ten (10) resident rooms observed were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. LPA unannounced tested the signal alert system in two (2) resident bedrooms at 11:54 AM and at 12:23 PM and received immediate responses over the PA system from facility staff. KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA tested the water temperature in the kitchen and observed the temperature to be 109.2 degrees Fahrenheit, which is in compliance with regulation. LPA observed the kitchen to contain a wall mounted fire extinguisher which was fully charged and last serviced on 11/22/2024 which is outside of the range required by regulation. BATHROOMS : There are three (3) common resident bathrooms at the facility and each bedroom has an attached private resident bathroom. All resident bathrooms observed were clean and were equipped with nonskid surfaces. Grab bars were observed in all inspected showers and near all inspected toilets, all were properly secured. The water temperature was measured to be between 107.4 and 111.9 degrees Fahrenheit, which is in compliance with regulation. GARAGE: LPA observed the garage to contain a locked chemical storage, a locked maintenance room, various machinery rooms, and a theater which was under construction at the time of this report. LPA observed a working automatic gate at the access to the garage. LPA observed clear passageways for emergency exit use. OUTDOOR SPACE: The facility had adequate shaded seating outdoors for resident use. LPA observed all emergency exits to be clear from obstructions. LPA observed cameras located throughout the outdoor areas of the facility. Continued on LIC 809C. RECORD REVIEW: Record review began at 12:36 PM. Resident records were reviewed for documents including, but not limited to: health screening, TB test, physician's report, needs and service appraisal, consent forms, and personal rights. Six (6) resident files were reviewed. LPA observed Resident #1 (R1)’s bedroom to contain a wheelchair. Upon reviewing R1’s file LPA observed their physician report from 2024 to list R1 as “Ambulatory”. LPA observed a request form where R1 indicated that they required a wheelchair and walker. LPA informed the Administrator who stated that R1 utilizes the wheelchair on longer outings. LPA informed the Administrator that R1 was listed as “Ambulatory” but utilization of a wheelchair/walker constitutes a change in condition of R1 and a reappraisal of R1 will need to be conducted by a medical provider to determine if R1’s ambulatory status has changed since their last physician’s report. The Administrator expressed understanding and agreed to complete an updated assessment of R1 with a medical professional. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 01/23/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, updated disaster plan, and current liability insurance. Due to time constraints LPA will return at a later date to conduct four (4) additional resident file reviews, staff file review, medication review, and interviews. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.