Routine inspection·April 27, 2026

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with both Health Service Director Laura Sanchez and Administrator Jose Speede, and explained the purpose for today’s visit. The facility is licensed to serve 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 and a Dementia Care Plan and a Hospice Waiver approved for (38) residents. There are currently (30) residents receiving hospice care. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: The facility maintains the required 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 Care of Bedridden Residents Plan. The facility maintains the required liability insurance that expires on 11/1/26. Physical Plant & Environment Safety: LPA toured facility, a total of 8 residents’ bedrooms/units were checked and had the required closet/drawer space to accommodate each resident comfortably available. The resident rooms have signal systems located in each bathroom that were tested an operating properly. Residents have call pendants that were also tested and operable. 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 throughout the resident private bathrooms and measured within the required range of 105-120 degrees. The facility had the required personal rights and complaint posters posted. (Continued on LIC809-C) Staffing & Personnel Records-Training : There appears to be sufficient staffing at all times in the facility. Staff have criminal record clearance, Health Screening, Negative TB test results, training in postural supports, Alzheimer’s and Dementia, medication assistance in the personnel files. LPA reviewed 5 staff files and observed 5 staff files missing their First-Aid training certificates from a certified agency such as American Red Corss (citation issued and will be detailed on LIC809-D page ). Administrator Jose Speede certificate expires on 11/8/27. 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 8 Resident Files and observed 2 residents missing their negative TB test results (citation will be issued and detailed on the LIC809-D page). 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. Planned Activities: Facility provides scheduled activities with a monthly calendar and the required full-time staff that conduct and evaluate planned activities. There are multiple shaded patio areas that allow for sufficient space for activities. 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. Incidental Medical & Dental: Medication is properly labeled and are centrally stored and are in their original containers. LPA reviewed 10 resident medications with no issues observed. Disaster Preparedness: The facility maintains the required Emergency Disaster Plan with 2 relocation sites. Facility has the required emergency evacuation chairs located at each stairwell. The last emergency drill was conducted on 3/31/26. Residents with Special Health Needs: Facility admits residents with dementia and resident with hospice services, staff files reviewed today all have required training documented. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be cited on the 809D. Exit interview held, a copy of the report and appeal rights were provided.