Health check·June 17, 2025

Licensing Program Analyst (LPA) Hansen conducted an unannounced Health & Safety case management inspection and met with Kyle Ruth-Islas, Chief Executive Officer (CEO). The purpose of this case management is to conduct a walk through of the newly renovated building and grounds, Memory Care Unit of Building 7, consisting of 12 units, currently approved for 12 residents. There are no residents residing in this building at this moment. At approximately 9am tour of new memory care unit began with CEO & Director of Facilities, Taylor Kelly. LPA observed 12 apartments in this single-story building, having been recently remodeled, with dining/activity rooms, medication room, storage rooms with outdoor patios on each end of the unit. LPA toured 6 apartments which were found to be clean and at a comfortable temperature with all exits free from obstruction. All apartments have enclosed patios. All bedrooms were equipped with lighting/lamp, nightstand, and chest of drawers. Extra hygiene products and linens are available. Water temperature in sinks accessible to residents in care measured at 110.8 to 116.2 degrees F, within Title 22 regulations range of 105 to 120 degrees F. Resident bathrooms had required slip resistant flooring and grab bars. Smoke and carbon monoxide detectors observed to be operational. LPA observed cleaning supplies to be kept in locked laundry room across from nurses’ station, with dedicated staff 24/7. Nurses station also will contain centrally stored medications & med cart. There are pull cords in all bathrooms & next to beds that will announce to the nurses’ station and front lobby desk that is also occupied 24/7. Facility obtained 2 years ago commercial generator to supply entire premises should the power go out. Community Care Licensing (CCL) received STD850 form on 6/6/2025 approving fire clearance by The Southern Marin Fire Department for Building 7 Memory Care unit with egress doors and Noc Box for locked gate. Licensee has requested increase of Non-Am and 10 Bedridden, which is still under review by Fire Department. Facility is granted approval to occupy new memory care unit. No deficiencies cited during today’s inspection.