Routine inspection·August 7, 2025

At approximately 9:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Paul Oseso, Administrator. Facility is an Residential Care Faciity for the Elderly (RCFE) with 48 residents in care, 14 of whom reside in the memory care unit. The community has a Hospice waiver for 10 and is approved for 8 bedridden residents. At approximately 10:30 AM, LPA initiated a tour of the community with Administrator and observed the following: Facility is a two story building with evacuation chairs observed at the top of each stairwell. Facility was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of paper products available to clients. Closets containing cleaning supplies and other items that could pose a risk were locked. The community has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There are covered seating areas and outdoor space for activities. LPA observed an activity schedule, residents engaged in activities, and computers with internet available for resident use. The community's fire extinguishers were observed charged and were last serviced 02/2025. Sprinklers and Smoke and Carbon Monoxide detectors were last inspected by the Napa Fire Department 10/2024. Facility conducts monthly emergency/disaster drills with the last one conducted 07/2025. LPA observed facility's infection control plan and emergency disaster plan which was last updated 07/2022. LPA observed a supply of PPE, emergency supplies, flashlights and a first aid kits throughout the community. continued on LIC809C... Continued from LIC809... Facility has a backup generator for emergency preparedness. At approximately 11:15 AM, LPA reviewed seven (7) resident records and seven (7) staff records. Seven (7) out of seven (7) resident's records have all the required paperwork, including current medical assessments and care plans. 7 out of 7 staff records have current required training and current First Aid/CPR certification. Medication and medication records were reviewed and found managed and stored in compliance with regulation. Facility works with residents and their families to coordinate medical and dental visits as well as transportation to and from appointments. Facility does not manage P&I cash resources. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : -LIC610 - Emergency Disaster Plan -A copy of facility's liability insurance No Deficiencies are cited during inspection. Exit interview conducted with Administrator whose signature on form confirms receipt.