Routine inspection·April 17, 2025

Licensing Program Analysts (LPAs) Samer Haddadin and Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by Staff #4. During today’s visit, LPA met with Maria "Tisset" Domingo, Executive Director (ED). The facility is a three-level building with an approved fire clearance of eighty-eight non-ambulatory with fifteen bedridden and are approved for a hospice waiver for sixteen. The Terrace floor is the Reminiscence Community and the first and second floors are Assisted Living. The facility currently has a census of eighty residents in care. During today’s visit, LPA Haddadin toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in four of four resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 108.9 and 119.9 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational . The fire extinguishers were charged and serviced on October 4, 2024. The facility’s last earthquake drill was conducted on April 3, 2025 and the fire drill was conducted on April 6, 2025. LPA Haddadin inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs observed residents dining for lunch in both the Reminiscence Community as well as Assisted Living. Residents do not have access to kitchen areas and sharps and knives are secured in the kitchen. (Continued on LIC 809-C) (Continued from LIC 809) LPA Ruppert observed medication storage and reviewed the centrally stored medications with Roana Cruz RN, Resident Care Director. Per review medications are being given as prescribed. LPA Haddadin observed the First Aid Kit which had all of the required elements and a First Aid manual. LPA Ruppert reviewed four of four staff training and fingerprint records and reviewed eight of eight resident records . LPA Haddadin interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA Ruppert confirmed that administrator has a current administrator certificate which expires on June 16, 2025. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Maria "Tisset" Domingo, Executive Director and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.