Routine inspection (multi-day)·July 21, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced continuation of the required One Year inspection, dated 07/17/2025. LPA met with Executive Director, Mary Jane Rodriguez and explained the reason for the visit. Current census is 117 residents, 90 residents residing in the Assisted Living portion of the facility and 27 residents in the Memory Care unit. During today's visit, LPA toured the first floor Memory Care area with the Executive Director. The tour of the other second, third and fourth floors was conducted on 07/17/2025. Bedrooms: LPAs toured multiple resident bedrooms on all four floors, randomly. Except for three shared apartments in the Memory Care area, all bedrooms are private. The bedrooms were inspected and observed to maintain required furnishings and sufficient lightings. Administrator mentioned that some of the residents have brought their own furniture, based on their own taste. LPA inspected the bedroom walls, floors, furniture and bed linens for cleanliness. All bedrooms were observed to be clean, sanitary and clear of obstructions. In room numbers 119, 201, 311 and 408, LPAs pulled the assistance cord; caregiver responded within 2-3 minutes. Bathrooms: There are nine (9) public restrooms, scattered on the four floors of the facility, which are designated for residents', visitors' and staff use. All bedrooms have their own private bathrooms. All the bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, non-slip mats). Hot water temperature measured between 105.9° F. and 117.6° F; within the required range. At bathroom# 123 and 408, LPA pulled the assistance cord; caregivers responded within 2 minutes. Continued on 809-C First-Aid Kit/Medications: Facility has a Wellness Center, where all the medical charts, supplies, medicine destruction bins are kept, All medications were observed to be locked in medicine cabinets on the first and third floors. LPA observed several complete first-aid kits with all required supplies and the first aid manual in the Wellness Center, in facility vans and multiple locations throughout the facility. Resident Files : A review of ten resident records was conducted to ensure compliance of licensing required forms. The records included but were not limited to: Admission agreement, consent forms, emergency information, medical assessments and medication records. Staff Files : LPA observed staff files kept in locked cabinets in the Administration Office. Ten staff files were reviewed to ensure all forms and training certificates are up to date. Staff Rooms/Offices : Facility has one staff break room and several offices, including Human Resources, Administration, Sales, Maintenance Office and Wellness Center. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted / A Copy of the Report provided to Executive Director.