Routine inspection·December 18, 2025

Licensing Program Analysts (LPAs) Brian Balisi and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at approx 9:18 a.m. Upon arrival LPAs met with Executive Director Kevan Sidney and explained the reason for the visit. At approx 10:00a.m. , LPAs toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. LPA  began the inspection in the kitchen/food service area. Knives are kept inaccessible to residents in care.  Kitchen appliances were observed to be in operable condition.  Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. The LPAs observed sufficient perishable and non-perishable foods to meet the minimum two-day and seven-day supply of food and water.  Refrigerator and food pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked. LPA inspected the common areas throughout the facility. The common areas include the following on the first floor a library, multi-purpose/activity room, dining room, bistro, and the auditorium. On the second floor is the memory care area with patio, 2 sitting/living rooms. All the rooms have been appropriately furnished. The common areas were observed to be properly furnished and relatively clean at the of the visit. There is a dedicated area for the posting of required documents directly by the main entrance and hallway. Fire extinguishers were observed throughout the facility, fully charged and were last serviced  03/08/2025. All exits in Memory care have functioning auditory devices and were operational at the time of the visit. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. Facility has four stairwells, LPAs observed each stairwell with an evacuation chair. LPAs inspected ten (10) randomly selected bedrooms in memory care and assisted living.  The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens. LPA observed all bathrooms in each resident bedroom were clean, properly supplied and had functional fixtures. The hot water was measured in each bathroom within 105 - 115 degrees Fahrenheit. Resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Records review six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Six (6) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records reviewed were in order at the time of the visit. Daily vehicle inspection list and California Highway Patrol Inspection report was reviewed for facility vehicles Medications review.  The medications are centrally stored in a med room on the third floor inaccessible to residents in care. Medications are properly documented on the centrally stored medications and destruction record. Medications were observed to be given as prescribed at the time of the visit. Infection Control / Emergency Disaster Planning: During today’s visit, the LPAs reviewed the facility's infection control policy as well as their emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate at this time.  Daily vehicle inspection list and California Highway Patrol Inspection report was reviewed for facility vehicles. The last fire alarm system inspection was completed on 08/21/2025 and was found to be in compliance with Fire Code Regulations at the time of visit. The last Wet Sprinkler system was completed on 05/21/2025 and was found to be in compliance with Fire Code Regulations at the time of the visit. Emergency disaster drills conducted quarterly as per regulation; last disaster drill conducted on 12/07/2025. LPAs obtained the following documents: Census, Staff schedule, Emergency Disaster plan, Fire Extinguisher, carbon monoxide, and sprinkler test records and updated Limited Liability insurance. Last disaster drill was conducted this month. No deficiencies cited. Exit interview conducted and report issued to the Administrator.