Routine inspection·July 29, 2025

Licensing Program Analyst (LPA) Daniel Konishi conducted the unannounced required annual inspection. LPA met with the Business Office Manager, Carmen Hernandez and the purpose for the visit was explained. The facility is licensed for the age range 60 and over and 163 non-ambulatory residents. Currently, the facility has six (6) hospice waiver residents and seven (7) home health residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control Plan: The facility staff are using appropriate hand hygiene and wearing gloves while assisting residents. Staff are cleaning and disinfecting once a day and more often for high touched surfaces. Facility has sufficient PPE supplies and has an Infection Control Plan in place. Physical Plant and Environmental Safety: LPA toured the facility with the Business Office Manager, Carmen Rodriguez. This property is comprised of one large two-story building on 5.5 acres and contains (90) studio apartments, (42) - 1-bedroom apartments, (12) 2- bedroom apartments, first floor; Lobby/Front desk reception area, administrative offices, Computer room, Salon, Coffee Lounge, Dining room, Kitchen, Community Laundry room, Housekeeping Storage closet, Men/Women restroom, (2) utility rooms. Second floor; Program Director office, Director of Nursing office, Staffing Coordinator office, Medication room, Library, Fitness Center, Theater/Multipurpose room, Men/Women restroom, (4) utility rooms, Storage room (emergency food supplies) and (PPE supplies). The outdoor grounds contained bodies of water in a fountain, Physical Plant and Environmental Safety [Cont.]: East Wing Courtyard, West Wing Courtyard and community park. Passageways, walkways, and patios are free from obstructions and hazards. The facility is equipped with central air and heat. LPA inspected 14 residents' rooms and each resident bedroom has the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen, and the linen is in good condition. The bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, skid matt/strips and shower chair. The temperature measured between 110.0 and 117.0-degrees F which is within the Title 22 regulation. The carbon monoxide detectors and smoke detectors are interconnected and all tested and they are all working well. Fire Extinguishers are fully charged. Resident Rights-Information: LPA observed the required posters posted in the facility which include Long Term Care Ombudsman located on the second floor next to the resident's laundry room, and the Community Care Licensing Complaint and Personal Right Poster are located on the first floor near the resident's mailbox. The residents also have internet service for at least one internet access device for residents to communicate with their family members or physicians. Planned Activity: Facility has sufficient space to accommodate for indoor and outdoor activity. LPA also observed the weekly activity calendar and it's posted in the facility. The facility does have an active Resident Council. Food Service: Currently the facility has about three (3) residents who are required to go on modified diet and LPA reviewed and observed the doctor's order. The facility has an ample supply for two days perishable and seven days non-perishable food supply. The facility also has emergency food supplies and water located on the first floor. All the food are stored properly. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked. Walls and floors, cabinets and counters were clean and sanitary throughout the facility. Incidental Medical and Dental: LPA reviewed 14 centrally stored resident medications; containing a 30-day supply of medications and no issues were observed. Medical and dental transportation is provided if needed. Disaster Preparedness: The facility has an updated LIC610E Emergency Disaster Plan. The facility has two alternative shelter location for emergencies. The last fire /disaster drill was conducted on 7/23/2025. LPA also observed the evacuation chair at each stairwell. Due to time constraints, LPA will return at a later date to complete five (5) CARE Tool domains. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies observed during the visit. An exit interview was conducted and a copy of the report was provided to the Business Office Manager, Carmen Hernandez.