Routine inspection·October 30, 2025

At approximately 8:55AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Vice President of Operations (VPO), Wade Vest, Executive Director Specialist (EDS), Kelly Reynolds, Care Director, Tess Estilo, and Administrator, Arlene Samonte. Facility provides care and assistance to Older Adults in Assisted Living and Memory Care. Facility has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance for a total capacity of 130 individuals, where 81 individuals can be Non-Ambulatory and 15 can be Bedridden. Facility has an approved hospice waiver for 10 individuals. Upon arrival, LPA was informed that there were 90 residents in Assisted Living, 13 residents in Memory Care, and 28 Independent Living residents for a total of 131 residents in care. LPA was also informed that there were 31 staff members on-site. At approximately 9:30AM, LPA reviewed Facility Staff Roster and found that all staff were background cleared and associated to the facility per regulation. LPA conducted a walk-though of the facility with VPO and EDS and observed the following: Facility is a 3 story building for Assisted Living and Memory Care, and has separate Independent Living units on the property. Facility was clean and at a comfortable temperature with all exits free from obstruction. Facility has a infection control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Facility has emergency water and food present if facility needed to shelter in place for 72 hours. Toxins were observed to be stored inaccessible to residents. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Mattress pads were in place or available for Resident use. Hot water temperatures for a sample size of 12 sinks were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility has emergency chairs in facility stairwells. Facility's fire extinguishers were last inspected April 2025. Facility's smoke and carbon monoxide detectors were last inspected July 2025 and facility's sprinkler system was last inspected August 2025. Continued on LIC809C Continued from LIC809 Facility's last emergency/disaster drill was conducted October 2025. Administrator's Certificate for Arlene Samonte (6068960740) was current with an expiration date of 03/26/2026. LPA began resident file review. LPA followed up on an incident report and SOC341 report received on 10/27/2025. Reports stated that on 10/23/2025, it was discovered that Staff Member 1 (S1) transferred monetary funds to their personal account from Resident 1's (R1's) account. LPA obtained documentation related to the incident. LPA discussed the following topics with VPO, EDS, Care Services Director, and Administrator: Reporting Requirements PIN regarding 911 protocols PIN regarding dementia regulations LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date. No Deficiencies Cited during visit. Exit interview conducted. Copy of report discussed and provided to VP of Operations, Executive Director Specialist, Care Services Director, and Administrator. Signature on form confirms receipt of documents.