Routine inspection·October 28, 2025

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Gabi Rodriguez, receptionist and Rochelle Carpio Administrator and Director of Health services Arienne Ghammangne who assisted with the visit. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. There is a visitor sign-in station located in the main entrance. The facility has an Infection Control Plan. Facility observed to very clean. Operational Requirements: A current Plan of Operation was reviewed. The facility serves residents 60 years and older, and a Hospice Waiver for ten (15) resident is approved. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place. A surety bond is not applicable. Facility does not handle resident's money. Physical Plant/Environment Safety: The facility consists of a 2-story building with resident rooms on both floors. The main floor has a lobby, library, bistro area, dining room, kitchen, administrative offices, and spacious outdoor patio. The 2nd floor consists mainly of resident rooms and a dining room. There are no swimming pool or bodies of water on the premises. There are no firearms or weapons stored at the facility. LPA selected six random rooms to inspect and measure the hot water temperature. (continued on 809C) (continued from 809) The water temperature measured between 102.3 – 120.0 degrees F which is not the required range of 105-120 degrees F. The supply of dishes/cups is adequate. The facility smoke detectors are hard-wired. Carbon monoxide detectors were observed throughout the facility. Fire alarm system was tested during visit. The fire extinguishers were fully charged and in compliance. The grounds of the facility are well landscaped with a ramp that leads to the entrance. A shaded area with chairs is provided in the patio area. The facility is equipped with a centralized sprinkler system. The south side fire door was tested and did not operate properly; it did not open after 30 seconds. One door in the lobby is not working and does not open after 30 seconds. Staff provided work order for Wandering Gate Upgrade proposal from West Mills Communications Corporation and stated that work is to be completed next week. LPA asked facility to report to Fire Department and CCL and facility agreed. Staffing: There appears to be always sufficient staffing in the facility. With night staff that is trained and able to assist in care and supervision of the residents in case of an emergency. Personnel Records/Staff Training: Staff have criminal record clearance, some staff have current First-Aid training along with training in medication assistance, and other ongoing training are documented in personnel files. LPA reviewed 6 staff files with no deficiencies observed. Administrator Rochelle Carpio certificate expires on 01/21/2027 Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman near the entrance. A total of six (6) resident files were reviewed. Files contained admission agreements, Physician's Reports, Appraisals, TB clearance, Functional Capability Assessment, and emergency information. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Indoor and outdoor activities are performed daily. LPA observed activities during visit. (continued) Food Service: Sufficient food supply is stored in the kitchen and storage areas consisting of: 2-day perishables, 7-day non-perishables, and emergency food supplies. (continued) (continued from 809C) Incident Medical and Dental: Six (6) centrally stored resident medications were reviewed. Medication is given according to doctor’s orders. Some medications did not have labels and staff promptly corrected that by placing labels on the medications. Medical and dental transportation is provided by family, transportation services, or staff. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. Last fire/disaster drill was on 09/08/2025 Residents with Special Health Needs: Facility has recommended documents on residents with home health services and have ongoing communication with home health agencies. Facility admits residents with dementia and staff have all required training documented within personnel files. Per California Code of Regulations, Title 22, deficiencies were cited. Technical Advisories provided. Exit interview was conducted with staff. A copy of the report and appeal rights were issued.