Routine inspection·June 16, 2025

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by receptionist. LPA met with Autumn Conquest, Assistant Executive Director and Ito Chong, Assisted Living Director and explained the nature of the visit. Facility is licensed for 230 non-ambulatory residents, approved for secured perimeters, and delayed egress. Facility has an approved hospice waiver for 20 residents. The facilities current census is 172 residents. There are 10 residents on hospice during today's visit. This facility consists of two main areas. The assisted living and the memory care unit which are protected by delayed egress exits. LPA Martinez along with staff toured the physical plant of both the assisted living and the memory care unit. LPA observed a bistro adjacent to the main dining room where residents can obtain different snacks and beverages selections than in the main dining area. The bistro offers snacks all day so residents may dine when convenient. LPA observed menus for both areas and the food offered is varied and healthful. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Maintenance records were observed in the main kitchen. Facility has two food vendors that deliver food supplies. One of the vendors delivers once a week, where as the other vendor delivers twice a week. During the tour LPA observed residents involved in an activity as well as a posted activity schedule including games, exercise, and outings at the facility. LPA inspected that medication is centrally stored in a safe locked location; facility has a medication room and use medication carts to distribute medication to residents. LPA observed and inspected medication carts that are used to dispense meds to residents and observed Continued on LIC809-C medication was labeled and stored inaccessible to residents in care. Ten resident bedrooms were inspected in combination of assisted living and memory care unit and observed to have the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Resident bathrooms were inspected tested for water temperature and water temperature measured between 115.9 to 117.5 degrees F in tested bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Call buttons were observed in each resident apartments and when pulled a signal is sent to caregivers pagers and front receptionist as backup and accuracy for answering the call. LPA tested the pull cord system and observed it to be working properly. LPA observed several residents who appeared clean, and happy. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a locked storage closet. LPA toured the memory care unit and observed a kitchen/ dining room as well as posted activity schedule for memory care residents. LPA observed residents in the memory care unit with care staff present. LPA observed the delayed egress exits and observed for proper functioning. LPA observed smoke/carbon monoxide detectors and sprinkler system. Fire extinguishers are fully charged and were observed to be mounted on the wall throughout the facility. Smoke detectors, sprinkler system, and fire extinguishers are tested yearly by an outside agency, and LPA verified last testing was done January 10, 2025 for the sprinkles and February 7, 2025 for the smoke/carbon monoxide detectors. Emergency drills are being conducted quarterly, LPA verified facility has a fire drill log. Outside grounds have ample shaded seating for residents in both assisted living and memory care unit. LPA observed a swimming pool in the outside perimeters of the assisted living side with a fence around it. LPA observed the pool gate that has a self-latching entry door which opens away from the pool. The fence has a key lock at the gate door for inaccessibility. LPA measured the pool fence which measured 5ft 10in from base of the floor to the top of the fence and it was observed to enclose the entire pool area. LPA reviewed 10 resident files and five staff files. All resident files contained required documentation including updated physician reports and care plans. Staff files contained required documentation including health screens, first aid, and fingerprint clearance. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility representatives and a copy of this report was provided to the facility.