Routine inspection·July 24, 2025

Licensing Program Analysts (LPAs) Nadia Shahbazian and Mariana Agban conducted an unannounced Required One (1) year at this facility today. LPAs met with Tanya Quezada - Executive Director and explained the reason for the visit. LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools. The Residential Care For the Elderly (RCFE) facility is for residents of ages 60 and above. Fire clearance is for 99 ambulatory residents, of which 50 may be non-ambulatory. A hospice waiver for 12 residents is in place with currently only 1 resident is in hospice care. Facility is a three story building consisting of 72 resident rooms, living room, activity room, dining room, kitchen, beauty salon, 2 laundry rooms, underground garage and a courtyard patio areas. The smoke/carbon monoxide detectors are interconnected. There are several fire extinguishers located throughout the facility and last fire inspection was conducted on 03/19/2025. The facility is equipped with emergency pull alarm and fire sprinkler system. There is an elevator with an evacuation chair in the stairway. There is only one entrance being utilized at the facility but there are several exits, in case of emergencies. All required posters were posted at the entrance and the hallways. A tour of the physical plant was conducted at 9:40 am and the following was noted: Kitchen: Facility’s kitchen door was observed to be locked and inaccessible to residents. Kitchen floors, counters and work areas were clean and sanitary. LPAs observed an adequate supply of perishable foods for two (2) days, and non-perishable food supply for seven (7) days stored in the walk in refrigerator, walk in freezer, and pantry. Food was properly labeled and stored. Emergency food is kept in a separate locked area, outside of the kitchen. Knives and sharp utensils are stored in the kitchen; inaccessible to residents. Detergents and chemicals were locked in a storage room outside of the kitchen. (Continued on 809-C) Bedrooms: LPA toured multiple resident bedrooms on both floors for health and safety. The bedrooms were inspected and observed to maintain required furnishings and sufficient lightings, bed linens, closets/dresser drawers. All bedrooms were observed to be clean and clear of obstructions. Bathrooms: There are several bathrooms in the hallway on each floor for staff and residents use. Hot water temperature was measured in two hallway bathrooms, both measured at 106°F. There are private bathrooms in each resident room; all bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, non-slip mats). Laundry: Facility has two (2) laundry rooms, one (1) in each floor with total of four (4) washers and four (4) dryers. LPAs observed all the machines in functional capacity. Laundry detergents, cleaning agents and other toxins are secured in locked storages outside of the laundry room. Medications: Facility has a Wellness Room on the second floor, in which all medications are securely locked, inaccessible to residents. Medication and medication records were reviewed for proper documentation. LPAs observed that medication records were consistent with medication administration records. Multiple First Aid kits and the First Aid Manual were observed in the Wellness Room. Resident records: All records were observed as locked in administration office . A total of seven (7) resident files were reviewed for current physician reports, Needs and Services plans, admission agreements and appraisals. Resident records appeared to be complete and current. Staff records: All records were observed as locked in administration office . A total of five (5) Staff files were reviewed. Criminal record clearances were present, and staff are associated to this facility. Staff records appear to be complete with current training. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was provided to the Executive Director.