Routine inspection·February 27, 2026

On 02/27/2026, at 9:15 am Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced required annual inspection. LPA met with Regional Director of Operations - Lisa Pham and explained the reason for the visit. The facility is under Compliance Plan for two years, effective 02/11/2026. A Noncompliance Conference was held on 02/11/2026 at the Woodland Hills South Regional Office. Facility management have agreed to the terms of the compliance plan. Facility is licensed as a two-story building. Fire clearance approved for one hundred (100) non-ambulatory residents; ages 60 and above, ten (10) of whom may be bedridden. Hospice waiver is approved for thirty (30) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools. From 12:25pm to 1:20pm, LPA conducted a tour of the physical plant, with the staff and observed the following: The Reception area is located immediately upon entrance. Required postings were displayed at the reception area. Facility’s main door is the primary entry/exit access. The facility has five (5) exit doors on the first floor, (including the front entry) and three (3) exits on the second floor. Facility has one elevator. LPA observed three (3) evacuation chairs at each stairwell. Continued on 809-C KITCHEN: Facility has a commercial kitchen which is kept locked and inaccessible to residents. Appliances included a industrial refrigerator, freezer, convection oven, microwaves, ice-maker and juice dispensing machines. LPA observed an adequate supply of perishable foods for two (2) days, and non-perishable food supply for seven (7) days, which were stored in the refrigerator, freezer, and pantry. Food was properly labeled and marked with expiration and/or purchase dates. Emergency food was observed in a separate walk-in pantry. Sharps are stored in the kitchen drawer and all chemicals were kept in a locked storage room, across the kitchen. LPA observed records of special dietary needs and weekly menu in the kitchen. All kitchen surfaces, floors, walls and appliances were maintained in clean and sanitary condition. COMMON AREAS: Facility is a two-story building. The first floor has a lobby/living room, a television room, dining room, hair salon and outside and an inside patio areas. There are common area bathrooms, in both floors. Second floor has an activity room. Common area floors and hallways were clean and without obstructions, all furnishings were observed to be clean and in good condition. Multiple dual smoke/carbon monoxide detectors are installed, hardwired, and interconnected throughout the facility. Multiple fire extinguishers were observed throughout both floors and all the fire extinguishers were last inspected on 05/08/2025 by Delta Fire Company, which is privately owned. Delta Fire Company conducts quarterly smoke/carbon monoxide detector and fire alarm testing, the last test was conducted on December 2025. There are cameras installed in common areas of the home, including the hallways and patios. In addition facility offers telephone access and wi-fi access to residents in care. There are three stairwells and one elevator in the building; evacuation chairs were observed atop each stairwell. Roof is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. SURROUNDING GROUNDS: The passageways and entrance to the home was clear of obstruction. Facility has an outdoor patio and an indoor patio area. LPA observed two sets of patio furniture with two umbrellas, in each patio. There are no bodies of water in the facility. LAUNDRY ROOMS: There are two laundry rooms, one on each floor, with two washers and two dryers in each room. Chemicals and detergents were stored in a locked room on the second floor, near the laundry room, inaccessible to residents. Continued on 809-C BEDROOMS: LPA toured multiple resident bedrooms on both floors. Of all bedrooms inspected, all were observed to be clean and contained required furnishings and bedding. At 11:57am in room# 123, LPA pulled the assistance cord; caregiver responded within 1 minute. Also at 12:06pm in room# 212 LPA pulled the assistance cord; a caregiver responded within 2 minutes. BATHROOMS: LPA inspected common area bathrooms in the hallway and several bathrooms in resident rooms. All inspected bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, non-slip mats). Hot water temperature measured between 108.7° F. and 119.2° F; within the required range. At 12:14pm in bathroom# 222, LPA pulled the assistance cord; a caregiver responded within 1 minute. MEDICATIONS: Facility's Wellness Room is located on the first floor, in which all medications are securely locked, inaccessible to residents. With the assistance of Wellness Coordinator, LPA reviewed Medication Administration Records (MARs) for nine (9) residents and compared them to the medication count and found no discrepancies. A First Aid kit and the First Aid Manual was observed in the Wellness Room. In addition to the plant tour, LPA reviewed the facility's infection control plan and disaster plan. Facility conducts quarterly Fire Disaster and Emergency drills, the last drill was conducted on 01/29/2026. LPA obtained a copy of liability insurance and auto insurance with expiration date of 01/01/2027. Administrator's Certificate expiration date is 06/14/2026. Due to time constraints, LPA was unable to complete today's annual inspection. LPA will return to facility to review staff and resident records and to conduct interviews at a later date. Exit Interview Conducted / A Copy of the Report provided to Regional Director of Operations.