Routine inspection·January 15, 2026

On 01/15/2026 at 8:15am, Licensing Program Analysts (LPAs) Zina Brown, Lizeth Villegas & Ernand Dabuet conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one- year inspection (due February 2026). LPA met with Joel Niblett and the purpose of the visit was discussed. Facility is licensed to serve age range 60 and over which is approved for 170 non-ambulatory of which 24 may be bedridden (bedroom 301 - 303, 307 - 308, 311-314 may have 2 bedridden) and bedroom #304-306 and 309 may have 1 bedridden only with a waiver granted for hospice care for ten (10). There are (71) ambulatory residents, (48) non-ambulatory residents, (60) residents are diagnosed with dementia, (25) residents receiving home health, (18) residents receiving hospice care services and (2) resident receiving palliative care. The last fire inspection was completed on 05/08/2024. The facility does not handle any of the residents’ money. The facility has a current administrator certificate (7002290740) for is Joel Niblett valid 08/16/2025 - 08/15/2027. The facility has liability insurance with Mercer Insurance Company (NAIC# 14478) with each occurrence at $1,000,000 and general aggregate 3,000,000 as effective as of 07/31/2025 - 07/31/2026. The facility annual fee is $2,311. which is due on February 9, 2026. LPA provided pin #312963 if facility choose to make facility annual payment online. The facility a single story building consisting of: (142) resident bedrooms, (43) Full bathrooms, kitchen, (4) dining area, laundry room, medication room and (10) outdoor shaded patio areas. LPA Villegas toured the resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 72.8F - 101.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Report continues on LIC 809-C A review of (10) residents files, (12) staff personnel files and (10) Medication Administration Records (MAR) and did observe discrepancies at the time of visit. Fire and Disaster Drills were conducted on 12/01/25 at 1:00 PM. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly, and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the facility were clear of hazards. There are no security bars or weapons on the premises. Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8); LPAs observed the following deficiencies: On 01/15/2026, between the hours 9:55am - 1:30pm, LPAs conducted a physical plant tour & records review and observed the following: For 87355(e)(3) Criminal Record Clearance: 3 of 12 staff are not associated with the facility. For 87465(d)(3) Incidental Medical & Dental Care Services; 6 of 10 resident had incompletion registration on the Medication Administrator Record (MAR) For 87411(c) Personnel Requirements: 1 of 12 staff ; no personnel record on file, 2 of 12 staff ; no TB Test on file 3 of 12 staff : no health screening on file and 6 of 12 staff ; no CPR on file For 87303(e)(2) Maintenance & Operation: The water test in Unit 2 shower Room 101.1F, bathroom in room 223 tested at 72.8F, and room 231 water tested at 80.4F, For 87307(2)(B) Personal Accommodations & Service: rooms 402 , 412, 214,236, 223, 231, 305 are missing a lamp and in rooms 236, 223, 231, 305 missing chairs. For 1569.625(a)(b) Training Requirement for Direct Care Staff: all staff did not have the required training needed to be in compliance with Title 22 regulations Health & Safety Code. An exit interview was conducted Joel Niblett, and a copy of Report and Appeal Rights provide d.