Routine inspection·September 21, 2025

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced One (1) year Required visit at this facility. LPA met with Executive Director Carlos Lara and explained the reason for the visit. At 9:23 AM, with the assistance of the Executive Director, LPA toured the facility inside and out and the following was observed: The facility is a four (4) storey building fire cleared for 155 non-ambulatory residents, four (4) of which may be bedridden and has hospice waiver for twenty (20) residents. The facility had submitted and approved Mitigation and Infection Control plan. The facility's smoke alarms are hard wired and interconnected. Last testing, which includes the sprinklers, fire door, alarms and exit light was completed on 12/12/24. Fire/earthquake and emergency evacuation drill is conducted on monthly basis for different shift and the last one was conducted ton 08/13/25. The fire extinguishers throughout the facility hallways are on all four (4) floors, all extinguishers were last serviced on 05/20/25. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperatures. There was a sufficient amount of perishable and non-perishable food at the facility and properly stored. Residents do not have access to the kitchen. Listing for residents that require a special diet is posted on the kitchen wall. There were no pesticides or poisons observed near any food areas. Kitchen/food service staff observed with gloves and proper hair cover. Bedrooms: Personal accommodations in resident bedrooms and bathrooms were observed for safety, privacy, and comfort. Random resident rooms were inspected and observed with all required furnishings and grab bars and nonskid surfaces in the bathrooms. Emergency push button was tested for proper function. Bathrooms: Resident bathrooms were properly supplied and had functional fixtures. Hot water temperature in random resident bathrooms on all floors were checked and measured at a range of 113.0°F to 117.5°F. Common Areas : Common areas, including the lobby, activity rooms, dining rooms, and reading room appeared clean and were properly furnished. There is a coffee/hot beverage station at the reading room. Salon was closed and locked during the day of the visit. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor/patio areas are located at the front and beside the dining room. There is no body of water in the facility Laundry: Each floor has it's own designated laundry area for personal clothing of residents. The main laundry area is located on the 1st floor beside the employees' lounge. All the laundry areas were locked during the day of the visit. Staff Office/Work Station: Administrator's office is located on the first floor, by the entrance. Medication room and nurses' office on the second floor. Resident Files : LPA conducted a file review of resident records. Residents records observed to be complete and updated. Staff Files : LPA also conducted a file review of staff records. Staff records observed to be complete and updated. Medications : There are medication carts stationed at the medication/nurses' room. There is a refrigerator, with lock, in the medication room to store medicine that requires cooler temperature. Medication room is also locked at all times. Medication documentation and implementation appeared to be complete. There is a First aid kit on each medication cart and another by the reception area. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of this Report Issued.