Routine inspection (multi-day)·August 1, 2025

Licensing Program Analyst (LPA) Kimberly Ramirez conducted subsequent annual inspection on 8/01/2025. LPA Ramirez identified herself and was greeted by Director of Health Services- Minerva Naranjo and explained the purpose of the visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Operational Requirements: The fire clearance is approved for (252) ambulatory residents and (108) non-ambulatory of which (18) may be bedridden. This facility may retain no more than twenty (20) hospice residents. There were seventeen (17) residents under hospice care during time of inspection. LPA Ramirez reviewed facility liability insurance and auto registration for three (3) facility vehicles. Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed the required annual training for staff and staff working with dementia residents. LPA Ramirez reviewed food handler certificates for kitchen staff. Staffing: Administrator Certificate for Robert Barton (7033961740) expires 11/02/2025. See 809-C for continuation. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication rooms and in bubble packs and/or original containers. The facility uses the Medication Administration Record (MAR) electronic log to document medications given. The facility provides incidental medical services. Resident Records/Incident Reports: LPA Ramirez reviewed Resident files for Resident #1 (R-1) through Resident #6 (R-6). Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. No violations were cited during this inspection visit. Exit interview was conducted. A copy of this report was provided.