Routine inspection·March 27, 2025

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Concierge Genesis Rivas at approximately 8:20 AM and explained the reason for the visit. Health Service Director Laura Sanchez arrived shortly.The facility is licensed to serve (119) older adults, ages 60 and over. There is a fire clearance approved for (119) non-ambulatory residents of which 15 may be bedridden in rooms 151-155,213,215-217,219,224-227 and 229.Facility has an approved delayed egress. It has an approved Dementia Care Plan and a Hospice Waiver approved for (38) residents. There are currently (30) residents receiving hospice care. LPA observed the physical plant, reviewed residents' medications, observed food supply, and reviewed staff and resident files. Resident bedrooms were randomly chosen for review on all three floors. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. The resident bathrooms have the required grabs bars and non-skid mat. The hot water was between 107.2-115.5 degrees which is within the required 105 - 120 degrees. LPA observed bathroom sink faucet in room #151 to be broken. Fire extinguishers were observed throughout the facility. LPA observed cleaning supplies are scissors accessible to residents under kitchen sink and drawer located in the activity room. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and seem to be operating properly. Auditory devices were observed at all entrances/exits of the memory care unit and were operational. There is an electric fireplace in the lobby/dining room covered with a screen The common areas include the activity room, dining room, library, and patio areas. These areas are clean and have the required furniture. There are no firearms or weapons stored at the facility. There are (2) courtyards in assisted living and an enclosed patio in memory care with shaded seating areas. Evacuation chairs were observed at each stairwell. All required postings were observed throughout the facility. Sufficient additional linens/towels were observed. The facility does not have a swimming pool or bodies of water on the premises. Passageways and exits are free of obstruction. Five (5) staff files were reviewed and included Criminal clearance record, and health screening with TB. Two (2) staff files were missing training. Seven (7) residents files were reviewed and included physicians report, TB clearance. Two (2) resident files were missing an appraisal needs and service plan and one (1) resident was missing an admission agreement. Last fire/earthquake drill was conducted in January of 2025. Infectious control plan was reviewed. Facility was missing emergency disaster plan 610 D Two (2) staff, and six (6) residents were interviewed. Random resident medications were reviewed. Medications are centrally stored and locked MAR log is used. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview held and a copy of the report along with appeal rights were provided.