Routine inspection·January 15, 2025

Licensing Program Analysts (LPAs) Joseph Alejandre and Nancy Guillen made an unannounced visit to conduct the required annual inspection. LPAs met with the Executive Director (ED) Melinda Forney and explained the reason for the visit. Melinda Forney's administrator's certificate expires on July 22, 2025. Facility is licensed to maintain a RCFE -Continuing Care Retirement Community. Total capacity is 399, of which 60 can be nonambulatory and a hospice waiver for 12. The census during today's visit is, independent living 275, assisted living 38, and 5 in memory care. LPAs and the ED toured the facility. LPAs inspected nine resident rooms in assisted living and memory care. All rooms had the required furnishings. Hot water measured from 117.3 to 123.4 degrees Fahrenheit. In eight out the nine rooms where hot water was measured the temperature was above 120.0 degrees Fahrenheit. LPAs observed that all fire extinguishers were fully charged. LPAs observed and emergency evacuation chair at each stairway in the assisted living/memory care building. LPAs observed the required postings and the PUB 475 poster posted in the lobby of the assisted living/memory care building. LPAs and the ED toured the kitchen. LPAs observed that the facility had the required two day perishable and seven day non-perishable food supply. The refrigerator and freezer were operated at the required temperatures. Facility had the required three day supply of emergency food and water. LPAs observed extra linens stored in a supply closet. LPAs toured the outside of the facility and observed there was a shaded seating area for resident use. There were no obstacles or hazards observed inside or outside of the facility. LPAs and the ED toured the memory care unit. Memory care unit has a secured perimeter with delayed egress exits. LPAs verified the delayed egress exits and the signal call system were operational. LPAs reviewed five staff files. All staff whose files were reviewed are background cleared and associated to the facility. All five staff members had the required training. LPAs reviewed 8 resident files and medication. No discrepancies observed in the resident files. LPAs observed resident one (R1) did not have six out of thirty-three prescribed medications. No other discrepancies observed. Facility has a dedicated internet device for resident use. The last emergency drill was conducted on December 22, 2024. Deficiencies are being cited per the Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with the appeal rights was provided.