Routine inspection·May 14, 2025

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Business Office Director Danielle Brahier was present to assist with the visit while Executive Director Erin Palposi was notified via phone and could not be present in person. LPA reviewed the facility's resident census, staff roster, Emergency and Disaster Plan, Infection Control Plan, staff schedules. There are 118 residents in care, nine of which are residing in memory care. There are eight residents receiving hospice care at the time of the visit. A sample of eight staff records and twelve resident records were requested and reviewed during the visit. Resident records appear complete and meet the regulatory requirements. During the visit, LPA provided a consultation on updated requirements for yearly medical assessment for all residents regardless of a dementia diagnosis. All staff members listed on the facility's roster form are verified to be background cleared and associated to the facility at the time of the visit. CPR training is current for all staff members reviewed. Proof of initial and annual training also provided and reviewed. The facility is a two-story building divided in three sections (Assisted Living, Sage Living and Memory Care) around a central courtyard with a secure swimming pool. LPA accompanied by facility staff conducted a tour of the interior and exterior of the physical plant. A total of 11 occupied units were inspected during the tour Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats or floor materials. Hot water was measured within the required range in six distinct locations throughout the facility. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 The fire panel and sprinkler inspection reports were reviewed during the visit and did not evidence any issues with the fire safety systems at this time. Wall-mounted fire extinguishers are observed throughout the premises and appear to have received adequate maintenance per the tags attached. Auditory exit alarms were operational. The facility utilizes delayed egress for the memory care. Use of delayed egress approved by the Fire Marshall upon delivery of the fire clearance. Evacuation chairs confirmed to be in place at the top of staircases. Fire and evacuation drills are conducted as evidenced by the training records provided. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications, cleaning supplies, and sharp items were inaccessible to residents in the memory care. LPA reviewed the physician orders and medication on hand in one of the facility's medication cart for a total of eleven residents with no discrepancies observed. For the exterior portion, facility has several patio furniture sets with umbrellas for shade and the grounds and routes of egress were free of tripping hazards. No deficiencies are cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along was left at the facility.