Routine inspection·September 27, 2025

On 9/27/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with MaryLou Escobedo/Resident Service Director. LPA explained the purpose of today’s visit. The facility is licensed to serve (65) elderly adults aged 60 and above, of which (65) can be non-ambulatory. The facility has an approved hospice waiver for (10). First, Fourth, and Sixth Floors, along with Dinning, Activities, and prep Kitchen areas, are licensed by CCL in building B. Currently the facility has (48) residents. The facility is a 6-story commercial building located on a main street. There are two buildings on the property separated by a parking lot. The Independent Living building is not licensed by Community Care Licensing (CCL). The Assisted Living building is licensed by (CCL). The Assisted Living building consists of 57 resident bedrooms, 57 resident bathrooms, and occupies the 4th, 5th and 6th floors. LPA Iniguez and the Admin Coordinator toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (9) bedrooms and (9) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 8/26/25. A review of (4) residents' service files and (4) staff personnel. LPA reviewed (4) Medication Administration Records (MARs) and found no discrepancies. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance was emailed to LPA . Facility Annual Fess current. The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -Water temperature measured below 105F during annual survey on residents’ rooms:613,602,503,404,417 and 420. Civil Penalty rendered for repeated violation for $250.00 -(2) residents missing admission agreements during annual survey. -(3) residents missing inventory list during annual survey. -(2) residents missing personal rights form on admission agreements during annual survey. -(3) facility staff missing Health Screening and TB Test during annual survey. -(1) facility staff missing first aid card during the annual survey. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to MaryLou Escobedo/Resident Service Director.