Routine inspection·September 10, 2025

On September 10, 2025, at 8:45AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Executive Director (ED) Tyler Hawk and explained the purpose of the visit. The facility is licensed to operate for ten (10) ambulatory, eighty-three (83) non-ambulatory, of which ten (10) may be bedridden, and have a hospice waiver for fifteen (15) residents. Facility is approved for delayed egress. The facility is a two-story building, which consists of the following: seventy-eight (78) resident units, eight (8) office rooms, eighty-four (84) bathrooms, waiting area, casino room, bistro area, activity room, cinema room, dining room, hair salon room, gym, kitchen, underground parking garage, and two outdoor covered patio area. LPA Kim toured indoor and outdoor of the physical plant with ED Hawk. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, refrigerator, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following bedrooms were inspected in Assisted Living: Resident Room 102, Resident Room 107, Resident Room 117, Resident Room 202, Resident Room 222, and Resident Room 229. The following bedrooms were inspected in Memory Care: Resident Room 2, Resident Room 9, Resident Room 12, and Resident Room 16. Evaluation Report Continues on LIC 809-C Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 110.8 degrees F and 117.6 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. During the visit, LPA Kim observed the facility's infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, Emergency water, and Emergency supplies are stored in the storage room in parking garage. A working telephone (714) 693-5368 and tablet for videoconferencing technology both remain available for resident use. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. Fire/Safety drills are conducted monthly and last conducted on September 9, 2025. The facility has twenty-six (26) fire extinguishers that were charged, and they were all serviced on November 20, 2024. First Aid was maintained and contained all the necessary elements. LPA Kim conducted an audit of resident files (R1-R10), staff files (S1-S8), and medication and medication administration records that were all in order and complete. LPA conducted interviews with seven (7) residents and seven (7) staff. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to the Executive Director Tyler Hawk.