Routine inspection·December 29, 2025

Licensing Program Analysts (LPAs) Christine Yee and Erica Mosley conducted a joint unannounced required Annual Inspection using the CARE Inspection Tool and met with Aaron Feingold, Designated Responsible Staff. Also participating in today's visit was Evelina Papazyn, Consultant. The reason for today's visit was explained. The facility is a 3 storey residential building consisting of 30 bedrooms, a commercial kitchen, dining room, television room, lounge and a staff break room on the first floor. The second floor has 35 bedrooms, dining room, library and television room. 16 bedrooms out of the 35 bedrooms are designated for the dementia unit. The third floor has 36 bedrooms. The facility is fire cleared for 63 Ambulatory, 112 Non-ambulatory and 20 bedridden residents. Delayed egress is approved for the dementia unit. On today's visit, all 12 domains of the CARE Inspection Tool was reviewed, 8 staff and 8 resident files were reviewed and a tour of the physical plant, inside and outside were toured. Medications were also reviewed beginning at 3:00pm.The following rooms were inspected on today's visit: Room #s 101, #108, #124, #206, #212, #221, #234, #301, #316 and #335. Per tour of the resident rooms inspected, the rooms contained the required furniture. The bathrooms all contained a toilet, shower, grab bars, shower chair and a slip resistant mat. The water temperature were tested in the bathrooms and the water temperature in some of the bathrooms met Title 22 requirements and some did not have any hot water as the plumbers were still working on the plumbing needed to correct the continued on LIC809-C Page 2 facility's issues with correcting the uneven distribution of hot water throughout the facility that was previously cited on a complaint visit conducted on 11/25/25. Per the facility, the previous contracted plumbing company came to fix the water temperature problem to meet Title 22 requirements but the problem was not fixed. Another plumbing company had to be hired to address the problem with the water temperature and they were on site working on the problem on today's visit. Per the contractor, the plumbing should be addressed by 12/30/25. Per tour of the inside common areas, the appropriate furnishing and equipment were in place for its designated use. Per tour of the kitchen, sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed on site. The facility also has food supplies delivered 2 times a week on Monday and Thursday. The common areas were observed to be clean and well maintained. The facility has 3 fire extinguishers located on each of the 3 floors. They were last inspected on 2/12/25. The last fire inspection was conducted on 2/17/25 by the facility's fire vendor and the facility passed the fire inspection for all fire prevention equipment. The facility has current general liability insurance that meets Title 22 requirement. Per tour of the outside areas, there were chairs and tables available for resident use on the ground level and second floor. The large dumpsters located in the back parking lot were observed tightly sealed and in good condition. The outside areas were observed to be clean. No deficiencies were cited on today's visit. Exit interview was conducted.