Routine inspection·August 19, 2025

Licensing Program Analyst (LPA) S Vaid conducted the required annual inspection. LPA arrived unannounced and met with Claudella Farrow-receptionist who notified the administrator LeeAnn Hefner arrived shortly after and assisted with the assisted with the tour. The facility is licensed to serve 142 non-ambulatory residents ages 60 and over, of which eight (8) may be bedridden, approval for twelve (12) hospice. There is an approved delayed egress for memory care. The building is a three-story building which was consisted of the front lobby, the memory care unit, common areas, resident rooms and private bathrooms, public bathrooms, dining rooms, central restaurant style kitchen, offices, housekeeping closets, activity rooms, bar area, beauty salon, theater room, laundry and linen storage and supply rooms, and medication rooms. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: The facility staff are using appropriate hand hygiene and cleaning/disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan, Dementia Plan and training, and facility maintains the required liability insurance. Con't 809C...... Physical Plant & Environment Safety: LPA toured facility, ten (10) residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. There are smoke detectors, carbon monoxide detectors and an emergency sprinkler system throughout the facility that are operable and in compliance. The fire extinguishers were observed throughout the facility and are fully charged. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested daily throughout the facility resident private restrooms and measured within the required range of 105-120 degrees. There is a shaded patio and garden area for residents. Staffing: There is always sufficient staffing in the facility. With night staff that is trained and able to assist in care and supervision of the residents in the case of an emergency. Personnel Records-Training: Staff have criminal record clearance, current First-Aid training along with training in postural supports, assisted living, memory care, medication assistance, and other ongoing training are documented in personnel files. LPA reviewed 5 staff files with no issues observed. Administrator LeeAnn Hefner certificate expires on 3/29/25, renewal was sent and is awaiting. Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 10 Resident Files with no issues observed. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman posted in the front lobby and common areas. Planned Activities: Facility provides scheduled activities with a monthly calendar. There is an outdoor activity area available for the residents. LPA observed residents participating in planned activity. Con't 809C................... Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Dining staff uses approved menus and follow residents special diets. Walk-in fridge and freezers temperatures are measured and recorded daily. Incidental Medical & Dental: Medication is properly labeled and are centrally stored in a Medication Room and are in their original containers. LPA reviewed medications for six (6) assisted living residents and four (4) memory care residents. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. Fire and disaster drills are conducted unannounced monthly by third party company during different shifts. Residents with Special Health Needs: Facility has recommended documents on residents with home health services and have ongoing communication with home health agencies. Facility admits residents with dementia and staff have all required training documented within personnel files. There are currently one (1) in bedridden resident in hospice at the facility. LPA observed rooms that have oxygen with the required signs posted. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided to LeeAnn Hefner.