Routine inspection·September 21, 2025

Licensing Program Analysts (LPA) Christian Gutierrez conducted an unannounced Required-1 year visiting using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Assistant Administrator Maria Campos who assisted with today’s visit. Administrator Kim Commodore arrived shortly. The facility is licensed to serve the elderly ages 60 and above. First floor only was approved for non-ambulatory, with a hospice waiver for two (2). Facility has a food preparation waiver. The facility is a two-story building located in a residential/commercial area and consists of 69 rooms with private bathrooms (eight of these rooms are on the second floor), dining room, living room, kitchen, and outdoor patio. Resident bedrooms were randomly chosen for review on 1 st and 2 nd floor. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. The residents’ bathrooms have the required grab bars and non-skid mats. The hot water was between 106.8-125.2 degrees, which is not within the required 105 - 120 degrees. Fire extinguishers were observed throughout the facility. Cleaning supplies and toxic substances are inaccessible to residents on first floor storage room. Kitchen was inspected. There is a sufficient supply of 2-day perishable and 7-day non-perishable food. All the appliances are clean and seem to be operating properly. The common areas include the library, dining room, living room, and patio areas. These areas are clean and have the required furniture. There are no firearms or weapons stored at the facility. All required postings were observed throughout the facility. Sufficient additional linens/towels were observed. The facility does not have a swimming pool or bodies of water on the premises. Passageways and exits are free of obstruction. SEE LIC 809C Five (5) staff files were reviewed and included Criminal clearance record, and health screening with TB. Staff were missing the annual training required. Two (2) out of six (6) residents files were reviewed and included physicians report, TB clearance, and needs and service plan. R1 was missing admission appraisal LIC 603, R2 admission appraisal and appraisal needs and service plan LIC 625, R3 physicians report LIC 602, admission appraisal LIC 603 and appraisal needs and service LIC 625, and R5 was missing admission appraisal LIC 603. Last fire/earthquake drill was conducted in July of 2025. Infectious control plan was reviewed. Two (2) staff, and four (4) residents were interviewed. Random resident medications were reviewed. Medications are centrally stored and locked. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview was held and a copy of the report along with appeal rights were provided.