Routine inspection·July 11, 2025

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by front desk staff and explained the reason for the visit. Executive Director (ED) John Goodwin and Business Operations Manager (BOM) Danielle Chairez arrived shortly to assist with the visit. Facility is licensed for 148 non-ambulatory residents, of which 22 may be bed-ridden, but limited to the first and second floor, and a hospice waiver for 22 residents. Currently there are 113 residents and 7 are on hospice during today's visit. LPA Tea reviewed twelve resident files and six staff files. Resident files and staff files contained all the required documentation. ED Goodwin’s administrator certificate expires on July 24, 2025. ED Goodwin completed and submitted all course work to renew his certificate and is pending approval. The last disaster drill was conducted on June 6, 2025. LPA Tea along with ED Goodwin toured the facility at 2:10 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a three-story building, with a memory care wing, called “Clare Bridge” on the first floor. In the middle of the building is a courtyard with shaded patio seating and a fenced in water fountain with koi fishes swimming. Memory Care unit has a garden sitting area of its own in the back that is secured. LPA tested delayed egress around the memory care garden to be operational. The fire alarm system of the facility is monitored and maintained by a third-party company. Fire extinguishers are fully charged throughout the facility. LPA observed evac chairs in every stairwell in the facility for emergencies. Resident bedrooms had 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. Water temperature measured between 118.4 to 110.6 Fahrenheit degrees. LPA pulled emergency pendants in resident’s bathrooms. The first test, the Annual inspection report continued on LIC809C emergency pendent was not working properly. The facility did not receive a signal or notification. ED Goodwin will check to make sure all emergency bathroom pendants are operating. The second time it was tested, staff came within in 15 minutes. LPA tested the resident push pendant and staff came within in less than 10 minutes to respond to the call. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen and dining room were inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed emergency food and water supplies stored in storage areas in the facilities. During the visit, LPA observed residents having lunch and early dinner. LPA also observed residents playing card games and partaking in activities in the activity room. LPA interviewed clients regarding their quality of care. Due to time constraints, LPA will return to the facility at a later time this month to finish the annual inspection. At this time, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations An exit interview was conducted with ED John Goodwin and a copy of this report was given to the facility along with a copy of the LIC 858, 858C; and 859.