Routine inspection·September 4, 2025

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with Executive Director (ED), Joeyvic Alvarado and the reason for the visit was explained. At 11:15 a.m., the LPA along with the ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: KITCHEN: The LPA inspected the Memory Care kitchen/food service area and the Assisted Living kitchen/food area. Knives and sharps were stored and inaccessible at the time of the visit. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. COMMON AREAS: At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. The fire extinguishers were fully charged and were last serviced 05/06/2025. The LPA observed required postings throughout the common space. The LPA observed the stairwells and they each had an emergency evacuation chair. Activity Rooms were observed and clean at the time of visit. Fireplaces were observed adequately screened. The LPA observed an adequate supply of emergency food and water. At 11:15 a.m. the LPA observed a cleaning cart with chemicals accessible to the residents in care left unattended in a hallway inside the Memory Care unit. At 12:15 p.m. the LPA observed a cleaning cart unattended with chemicals accessible to the residents in care in a hallway in Assisted living. (Report will continue on LIC 809-C, 2nd page...) BEDROOMS: The LPA observed ten (10) randomly selected resident bedrooms, which were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPA observed a sufficient supply of towels and linens. Resident’s cords were tested, LPA observed staff arrive in a timely manner. Smoke detectors were checked in all observed rooms and function properly during the visit. At 11:52 a.m. the LPA observed over the counter super greens 10 gummies, a tube of Voltaren Arthritis pain reliever cream, 2 icy hot lidocaine pain relievers bottles, a tube of triple antibiotic ointment in room 256, per the resident 1's (R1's) LIC602 they cannot store their own medication. At 12:04 p.m. the LPA observed over the counter medication in room 216, per the residents LIC602, it is unclear if they can administer and store own medication, however the LIC602 is from 2022 and resident is diagnosed with Dementia. At 12:11 p.m. the LPA observed a small prescribed bottle of Nystatin 1,000,000 unit/gm in room 177, per the resident 3's (R3's) LIC602, the resident cannot administer or store their own prescribed or over the counter medications. RESTROOMS: The resident restrooms appeared clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared in the private rooms. The hot water temperature was measured in ten (10) random bathrooms between 11:15 a.m. and 1:00 p.m., the temperature measured between 112 – 119.8 degrees Fahrenheit. RECORDS: At 1:30 p.m. a review of facility files was initiated. Facility records are stored in a locked office. The LPA observed documentation of Infection Control, and Emergency Disaster plan . The LPA obtained Client Roster, Staff Roster, and Insurance Liability. The LPA reviewed five (5) resident files. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. The LPA observed the following: R2's LIC602 is from 2022, and there is no documentation of resident's refusal to receive an annual routine visit or their representative's refusal on their behalf. Due to time constraints the LPA will return at a later date to complete the annual inspection. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were issued.