Routine inspection·March 28, 2026

Licensing Program Analyst (LPA) Jose Tan initially met with the receptionist Bertha Barbes who called the Executive Director and explained the reason for the visit. Ms. Gotto stated that the files were locked so she would be at the facility. Ms. Gotto arrived at around 11:16 AM. A tour of the physical plant was conducted at around 10:41 AM with the Marketing Director and eventually the Executive Director and the following was noted: The facility is fire cleared for one hundred twenty (120) non-ambulatory of which twenty (20) may be bedridden. The facility is currently occupying a total of seventy-five (75) residents, ten (10) of which are in hospice care. There is only one main entrance being utilized at the facility with sign-in sheets. Each residents' room has a full bathroom. LPA inspected random rooms in Memory Care and Assisted Living both first and second floor. Room 3E of Memory Care has toxins under the sink and Room 7E of Memory Care has no hot water on its sink. All rooms were observed to be adequately furnished with appropriate lighting system and enough clean linen available. Hallways are well lit. Residents have enough personal hygiene products provided by the licensee. The bathroom was checked for cleanliness and proper operation. The hot water temperature was measured at a range of 108.9°F to 118.9°F. Towels and washcloths are not shared. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins were observed to be locked in the parking area. (continued on LIC 809-C) (continued from 809) Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The facility has two (2) elevators, both of which are working properly. The facility maintains a comfortable temperature at 75°F. The facility's smoke alarms are hard-wired, interconnected with a pull system. The facility is equipped with sprinkler system but the facility has been currently on fire watch since September 2025, and per the Executive Director, they are in the process of updating their fire alarm and pull system. Fire extinguishers are located all throughout the facility and were last serviced on 02/11/26. Fire Drill was last conducted on 03/26/26. The living, dining and activity rooms are neat and clean. The facility maintains a comfortable temperature at 73°F but each resident has their own thermostat and can control the temperature in their rooms. The smoke alarms are hardwired, interconnected and centralized. Each room has a carbon monoxide detector installed. A signal is dispatched to the Los Angeles Fire Department automatically and the system is tested monthly. Laundry area is located in the basement area and is inaccessible to residents. Emergency drinking waters are also located in the basement/parking area. Medications were observed to be locked in the medication carts and inaccessible to residents. There were two (2) complete first aid kits in the medication room and medication carts. LPA observed medication carts locked and inaccessible to residents. Facility maintains a complete first aid kit. At 2:20 PM, LPA reviewed records of six (6) random residents and six (6) staff. Residents' records are observed to be current and updated. Staff #1 (S1) did not have a First Aid certificate on file. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.