Routine inspection·June 13, 2024

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Aura Molina and Lavern Villarba Care Service Manager and explained the reason for the visit. Shaun Rushforth arrived 10 minutes later. Facility is licensed to serve as a Continuing Care Residential Community (RCFE-CCRC) for 340 non- ambulatory adults 60 and over, of which 5 may be bedridden in rooms 150-169. Delay Egress is approved in 1st and 2nd floors and a secured perimeter is approved in the 1st floor. Facility has an approved hospice waiver for 20 residents. Facility has a commercial kitchen, a swimming pool a gym, a dining room, library, different common areas in the 1st, 3rd, and 5th floor, and a dementia unit with delay egress system. LPA Flores conducted a tour of the facility with Aura Molina and Lavern Villarba and observed the following: Facility is in good repair indoor and outdoor. Passageways and emergency exits are cleared. Facility has a sprinkler emergency system throughout. Commercial kitchen is clean, in good repair, Refrigerators and pantry were observed with sufficient food for at least 2 days of perishables and 7 days of non-perishables. All common areas were observed in good repair. Fireplaces are covered. LPA observed 17 resident rooms each is furnished, with sufficient lighting, in good repair. Bathrooms were observed with grab bars, 6 assisted living out of the 17 bedrooms observed did not have skid mat/strips and tested the water temperature in each room between 109.0 - 118.9 degrees F., which is within the required temperature of 105-120 degrees F.Dementia unit is accessible with a code, each egress door was tested and are in working condition. Dementia unit has a secured outdoor area. 2 out of the 17 resident rooms observed were in dementia unit. In room #164 a bottle of cleaning solution was observed accessible to the resident. Facility has a pool/jacuzzi area which has a 5ft fence surrounding it and is accessible with a key card pad lock. Fire extinguishers were observed throughout the facility and last checked on 12/7/23. Evacuation chairs were observed on top of each stairway. Elevators were in working condition. During this visit LPA completed the following CARE inspection tool domains: Physical Plant/Environmental Safety Planned Activities, and Food Service. (CONTINUED ON LIC 809C) LPA will return at a different date to continue annual inspection due to time restrains. Deficiencies were noted during this visit per Title 22 Regulations. Exit interview was conducted with Shaun Rushforth and a copy of this report, LIC 809D, and appeal rights were provided.