Routine inspection·May 1, 2026

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required- 1 year visit. LPA met with Eusebio 'Sev' Tienda, Director of Wellness and LPA explained the purpose of the visit. The facility is licensed to serve (200) non-ambulatory residents age 60 and above. Hospice waiver approved for six (6) residents and Memory Care approved for twelve (12) residents. Facility is approved to lock both exterior doors on the perimeter gates in the Memory Care unit (Hacienda Bldg.). Facility is a Continuing Care Retirement Community (CCRC) which includes separate buildings throughout the premises. The Assisted Living residents are located in the Memorial Lodge (ML) and Shu Lodge (SL). Memory Care Unit, which is located in the Hacienda Building, is approved for 12 residents. Currently, there are 30 residents in the Assisted Living, 10 residents in Memory Care and 132 residents in Independent Living. On today's date, LPA inspected the six (6) domains including: Infection Control, Operational Requirements, Resident Rights/Information, Planned Activities, Food Services, and Disaster Preparedness. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility has a updated Infection Control Plan in place. Staff are adhering to infection control requirements. The facility allows visitors, such as ombudsman and advocacy representatives, to see residents privately at reasonable hours and without prior notice. Operational Requirements: A fire clearance is in place. The Infection Control Plan is in place. Hospice Waiver for six (6) is approved and there are six (6) residents receiving hospice care, and zero (0) bedridden. Fire Drill was last conducted on 03/12/2026. Valid Liability Insurance is in place. Residents Rights/Information: The required information such as Personal rights of residents, Emergency Exiting Floor Plan, Ombudsman information, Complaint poster, Rights of Resident Councils, Visiting policy, Theft and loss policy and Emergency Telephone Numbers are posted throughout the facility. The facility has resident rights council who meet regularly. The facility provides internet services to all residents and have access to the facility phone. Planned Activities: The facility provides sufficient space to accommodate both indoor and outdoor activities. The facility offers scheduled activities and an up-to-date calendar is posted in separate buildings. The facility employs a full-time staff (Activity coordinator) to organize, conduct and evaluate planned activities. Food Service: The kitchen was inspected and the food preparation area and storage areas were observed to be clean and sanitary. Sufficient food supply is stored in the kitchen and food storage room consisting of 2-day perishables, 7-day non-perishables, and emergency food supplies. Sanitation practices and cleanliness in the kitchen were observed. Per Director of Wellness, there are no residents with modified diet. Some kitchen staff workers were observed to be using hairnets and disposable gloves while working. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least two (2) relocation sites. Emergency training such as earthquake drill, elopement and evacuation procedures are conducted on a quarterly basis. Evacuation procedures, including emergency exits are included in the facility sketch. The last fire drill was conducted on 03/12/2026. ***Due to time constraints, LPA was not able to complete the annual inspection for this facility. LPA will do a continuation of this inspection at a later date.*** Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies observed during today’s visit. Exit interview was held and a copy of the report was provided to the Director of Wellness Eusebio 'Sev' Tienda.