Routine inspection·January 2, 2026

Licensing Program Analyst (LPA) Daniel Konishi conducted the required annual inspection. LPA met with Daniel Orozco, Executive Director and explained the purpose of the visit. The facility is licensed to serve (106) non-ambulatory residents of which (16) may be bedridden. Facility may retain up to (20) hospice residents and cleared for delayed egress. On today's date, LPA inspected the eight (8) domains including: Infection Control, Operational Requirements, Physical Plant/Environmental Safety, Resident Rights/Information, Planned Activities, Food Services, Incidental Medical and Dental, Disaster Preparedness. Infection Control: The facility has Infection Control Plan in place. Infection control practices and Personal Protective Equipment (PPEs) were observed. There is a visitor sign-in station located in the main entrance lobby. Emergency and disaster plan was completed and up to date. Operational Requirements: Infection Control and Dementia plans are in place. Valid Liability insurance is in place. Fire and disaster drills were last conducted on 12/13/2025. Care and supervision to meet the residents’ needs was observed. Special equipment and supplies to meet the residents with special needs were observed. Physical Plant/Environment Safety: The Facility is two (2)-story building located in Sierra Madre, CA. A tour of the facility included: 1st floor (assisted living units with private bath), 42 resident units, large dining room, private dining room, kitchen, bistro, library, cinema, laundry room, multiple staff offices, medication/nurse station, two (2) activity rooms, an elevator, public restrooms and two (2) courtyards/patios. [Continue in LIC809-C] 2nd floor: (memory care units with private bath – two (2) sections “Haven”-late-stage memory care and “Connections”-mild to moderate memory care), 25 units each with private bath; each side of memory care had their own dining area, kitchenette, activity area, living room and patio. The facility has a shaded area for residents in the outdoor patio/courtyard area for activity purposes. The front grounds of the facility are well landscaped and have a leveled walkway to the entrance. The facility has central air/heating, call buttons in each unit and emergency sprinkler system throughout. The facility has central air and heating accommodations. The fire extinguishers were observed to be fully charged and in compliance. Kitchen was inspected, knives, cleaning solutions, and disinfectants are locked and inaccessible to residents. LPA observed two (2) fireplaces that are closed and inaccessible to residents. LPA toured ten (10) random resident rooms and observed each bedroom to contain the required furniture and linens. Bathrooms were observed to be clean and equipped with operational grab bars. The signal system was tested in various locations and is operable. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to residents. Hot water temperature readings measured at ten resident’s bathroom at random which measured from 106.8 degrees F to 113.7 degrees F which is within the required 105 degrees F to 120 degrees F. Residents Rights-Information: The facility has the following posters posted on each floor: Residents Rights, PUB475 Complaint Poster, and Ombudsman. Notice of visiting policy is posted. Per staff, facility provides internet services to all residents and have access to the facility phone. Planned Activities: Activities calendar is up to date and posted. The facility has a Resident Council and meet on a monthly basis. Facility provides equipment and sufficient space to accommodate both outdoor and indoor activities. Outdoor area is properly shaded for residents’ activity purposes. Food Service: Sufficient food supply is stored in the kitchen and pantry areas consisting of 2-day perishables, 7-day non-perishables, and emergency food supplies. Sanitation practices and kitchen cleanliness was observed. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incidental Medical & Dental: LPA reviewed ten (10) residents centrally stored medications with no issues. Medications were reviewed containing 30-day supply of medications. Centrally stored medications are kept in a safe and locked place not accessible to residents in care. Medications are given according to Physician directions. First aid kit is maintained. Medical and dental transportation is provided. Disaster Preparedness: Emergency and Disaster Plan LIC 610E is in place, and evacuation chair at each stairway is in place. The last drill was conducted on 12/13/2025. ***Due to time constraints, LPA was not able to complete the annual inspection for this facility. LPA will do a continuation of this inspection at a later date.*** Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview and a copy of this report were provided to the Executive Director, Daniel Orozco.