Routine inspection (multi-day)·September 18, 2025

Licensing Program Analyst, (LPA) Ray Comer, made an unannounced site visit to this facility as a continuation of the required annual Inspection initially conducted on 09/12/2025. LPA met with Administrator and the purpose of visit was disclosed. The following remaining inspection domains were observed, reviewed and inspected : Fire Detection/Protection system is present in the facility. Multiple smoke and carbon monoxide alarms are installed, hardwired, and interconnected throughout the Facility. LPA observed all fire suppression and signaling systems to be tested and "passed" inspection by contracted vendor, Fire Alliance Inc. Inspection report submitted to Los Angeles Fire Department on 01/22/2025. Fire drill last conducted September 10, 2025. Fire extinguishers were observed throughout the facility on all floors. All extinguishers were last serviced by July 2, 2025. Evacuation chairs were observed in each stairwell. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. Kitchen: LPA observed kitchen as clean, refrigerators and freezers observed to maintain required temperatures, appliances and fixtures functional, and a sufficient amount of perishable and non-perishable food observed as properly stored and labeled. Residents do not have access to the kitchen; knives and sharps are properly stored and inaccessible to residents. Facility menu appears to meet the daily dietary needs of the residents. No pesticides, nor poisons were observed near any food areas. However, LPA observed two (2) staff working in kitchen area without required hair net coverings. Deficiency will be issued in LIC 809-D. [continued on LIC809-C] Commons: Activity rooms, movie theater, dining rooms, pool hall, exercise room, and library observed to be clean with adequate seating for residents. Furnishings observed to be in good condition. No obstructions, nor tripping hazards observed by LPA. Medications: Medication room is located on first floor. LPA observed room as locked and inaccessible to residents. Inside the room, medications are properly labeled and stored in secured cabinets. Resident medication documentation and distribution records appear to be accurate and complete. However, an adjacent door to room where refrigerated medications are stored was observed as unlocked and accessible. Deficiency will be issued in LIC 809-D. Laundry: LPA observed the laundry room located on the sub-floor, and forth floor, across from salon. Residents have access to the fourth floor laundry area to do their own laundry. Sub floor laundry area is serviced by staff-only and inaccessible to residents. All laundry areas are clean and clear from obstruction. Cleaning supplies and other toxins are stored in separate locked storage area and inaccessible to residents. Bedrooms: LPA observed accommodations in resident bedrooms and bathrooms for safety, privacy, and comfort. Random resident rooms on all floors (#1003, #2010, #2006, #3003, #3010, #4004, #4006, #5008, #5016, #6016, #6010) were inspected and observed to maintain required furnishing and sufficient lighting, bed linens, and blankets. All bedrooms were observed to be clean and clear from obstruction. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured between 111.0°F and 113 .0°F . ; within the required range. Outdoor : Courtyard area observed to have shaded patio(s), with tables with sufficient seating for the residents. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. [continued on LIC809-C] Staff records: Staff files are stored in Administrator's office; secured and inaccessible to residents. Staff files were reviewed for criminal record clearances, Health Screening, staff associated to this facility, and all required documentation. Staff records appear to be complete and current. Deficiencies issued during today’s visit. Exit interview conducted, appeal Rights explained. and copy of this report provided.