Routine inspection·July 23, 2025

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the Health Service Director (HSD), Yolanda Ramirez, and explained the reason for the visit. The administrator, Lance Shenk, is currently at the Ventura Facility and unable to join. With the assistance of the HSD, a tour of the physical plant was made. The facility has three (3) floors. The fire clearance is for one hundred (100) non-ambulatory residents, of which ten (10) may be bedridden. Hospice waiver is for ten (10) residents. Delayed egress is approved for Dementia Unit (Italy & France). There is a fifteen second delay, or combination code to open the door. The facility's smoke alarms are hard wired. Last testing, which includes the sprinklers, fire door, alarms and exit light was completed on 05/31/25. Fire/earthquake and emergency evacuation drill was last conducted on May 10, 2025. The fire extinguishers throughout the facility hallways are on all three (3) floors, all extinguishers were last serviced on August 1, 2024. 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. Food deliveries from US foods are made twice a week. 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 three floors were checked and measured at a range of 111°F to 114°F. Common Areas : Common areas, including the lobby, activity rooms, movie theater, dining rooms, and library appeared clean and were properly furnished. There is a coffee/hot beverage station at the front entrance. Salon was closed and locked during the day of the visit. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor/patio areas for both the assisted living and dementia wing was clean and free of hazards. Gates for the dementia wing is locked to prevent residents from wandering out. Sufficient staffing was also observed at both dementia wings. Laundry: Both dementia wings have it's own designated laundry area in the dining/activity section of the dementia wing. The assisted living laundry room is located on the first floor, across the kitchen. All three 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 HSD office on the second floor. Resident Files : LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files : LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications : There are medication carts stationed at both dementia wings, and on each floor. There is a refrigerator, with lock, in the medication room to store medicine that requires cooler temperature. Medicaiton 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. 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.