Routine inspection·July 24, 2025

On 07/24/2025 at 8:40am Licensing Program Analyst (LPA) Zina Brown and Lizeth Villegas and conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Catherine Dacara (Assistant Administrator) and explained the purpose of today’s visit. The facility is licensed to serve four (4) ambulatory, 174 non-ambulatory, and 30 bedridden resident age 60 and above. The facility is approved to accept or retain 30 residents on hospice and may accept or retain reside who have dementia. Currently, the facility has 92 residents. The facility has a current administrator certificate (#7019164740 Exp. 8/12/25) for Melissa Flores. The facility has liability insurance with Bridgeway Insurance Company with each occurrence at $1,000,000 and general aggregate at $3,000,000 (policy #8H-A7-MM-0002272 valid 12/05/2024 - 12/05/2025) The facilities annual fees are current. The two-story commercial building consists of one hundred (100) resident bedrooms, multiple resident bathrooms,(3) common bathrooms, (4) shaded patios, (1) smoking area, dining room, commercial kitchen, staff room, office area, media room, garden area, a laundry, and multiple storage rooms. The facility has a memory care unit with delay egress doors. LPA's Brown and Villegas conducted a records review of (10) resident records, (10) staff records, and the facility disaster plan. Facility disaster plan is observed to be current and in compliance with Title 22 regulations at the time of visit. LPA Brown conducted a review of (9) Resident Medication Administration Records did observe discrepancies at the time of visit. Report continues on LIC 809-C Between the hours of 9:25am - 10:05am, LPA Villegas and staff toured the physical plant. Ten (10) bedrooms were inspected, (3) of the (7) bedrooms inspected were in the memory care unit. All bedrooms were observed to have pull cords located next to the residents bed and in the bathroom. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for residents’ personal belongings is available. In the memory care unit, the resident have auditory alarms located on outside patio doors. The water temperature was tested in (10) resident bathrooms. All rooms had the required furniture. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. LPA observed the facility to have a first aid kits, manual, and emergency supplies. A comfortable temperature was maintained in the facility. LPA observed the facility to be sanitary, well maintained, and appropriately furnished at the time of the visit. Storage areas for personal hygiene were observed and are accessible to residents. The commercial kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. LPA observed the kitchen area to be clean and free from pests. The facilities fire extinguishers were checked and found to be fully charged and accessible; and last serviced on 09/20/2023 . All exit doors in the facility have alarm systems. The facility has hardwired and battery-operated smoke and carbon monoxide detectors and are in working condition. A working landline telephone remains available. The last fire drill was conducted 07/13/2025. There were no bodies of water or obstructions on the premises. LPA observed the following not in compliance: On 07/24/2025, LPA observed no personnel record on file for Staff #9 and medication discrepancies. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did observe deficiencies, and citations were issued at this time. Exit interview was held and a copy of the Facility Evaluation Report with Appeal Rights were provided to Catherine Dacara (Assistant Administrator)