Routine inspection (multi-day)·March 21, 2026

Licensing Program Analysts (LPA) Zabel Chochian arrived at this facility to continue the required annual inspection initiated on 3/10/2026. Upon arrival LPA met with the Executive Director (ED), Cynthia Dachenberg and reason for the visit was stated. Beginning at 1pm the LPA and the ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations. Kitchen: Dining is located on the first floor and was observed to be clean and sanitary. The facility had a sufficient supply of two-day perishable and seven-day nonperishable food. The menu was available for viewing and the facility offers daily specials and a standard selection at every meal. Sufficient snacks and beverages observed. Facility is also stocked with sufficient emergency food and water supply. A digital system is used to capture residents prescribed diets, allergies, and food preferences. The facility is a three (3) story building. Resident rooms are located throughout three floors. The neighborhood (memory care unit) is located on the first (1st) floor; Circle of Friends units and assisted living units are located on the second (2nd) and third (3rd) floors. Common spaces on the first floor include the reception area/lobby, bistro, dining room, and fitness room. The remaining floors each have their common spaces for activities, and all observed appropriately furnished. All activity rooms and theater appeared clean. Activity schedules are posted throughout the facility. There were no obstructions and/or tripping hazards throughout the facility. There are fire extinguishers throughout the facility, which were charged and last serviced 02/11/2026. Annual Fire alarm/sprinkler system was tested on 3/21/2025 by West Coast Fire. According to ED and records reviewed the annual inspection was completed and repairs were made last week; they are wait for a retest.Copy of the retest/inspection will be sent to the department once completed. Resident Units: The LPA toured ten (10) randomly selected rooms throughout the community. Rooms were furnished with clean linens, appropriate furniture and sufficient lighting. Restrooms: The resident units and common area restrooms observed fully stocked with supplies. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. During the resident room tours LPA interviewed ten (10) residents. The water temperature was tested throughout the visit including resident unit restrooms and public restrooms. Hot water measured between required range (105*F-120*F) in resident unit restrooms. MEDICATION: Medication review started at 2:30p.m . The LPA reviewed medications for two residents during the visit. Medications are centrally stored and inaccessible to residents in the Wellness Center located on the second floor. Two out of two resident medications reviewed; residents medication matched centrally stored medication record; one medication current used by resident that was filled in 2025 was missing the centrally stored record. According to staff and ED the record was pulled and filed in storage to thin out the current file. Staff and ED stated that they will pull the records from storage and moving forward staff will ensure that centrally stored medication records with medication resident is currently taking stay in the residents records. Memory care unit exit doors and fence gates observed locked and not a delayed egress system. ED received information that the memory care unit is a locked perimeter with no delayed egress on the exit doors. Follow-up needed to clarify if the facility memory care is cleared for locked perimeter or delayed egress. Fire clearance dated 2/16/2018 indicates "Delayed egress/locked perimeter approved for memory care". No deficiency cited during today's visit. Exit interview conducted. A copy of the report was provided.