Routine inspection·April 25, 2025

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 98 non-ambulatory residents of which 20 may be bedridden. Facility has an approved hospice waiver for 20 residents. Executive Director (ED) Yaylene Mazariegos arrived shortly to conduct facility tour. ED has a valid certificate that expires on 08/16/2026. ED provided updated liability insurance that expires on 01/01/2026. LPA along with ED toured the facility at 9:40 AM. LPA toured the physical plant, checked food service, and facility documentation. The facility is a 2 story building with a secured memory care unit on the first floor. Five resident bedrooms checked had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Five resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and showers were free of mold/mildew. Water temperature measured between 105.4 degrees F and 115.8 degrees F in all bathrooms checked. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPA observed memory care delayed egress exits are operational. LPA and the ED toured the kitchen and dining room. The kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the refrigerator and freezer were operational. Fire extinguishers observed were fully charged. LPA observed cleaning supplies are kept locked in a storage closet. LPA observed the call system is operational. LPA observed the call response time is less than 5 minutes. LPA observed emergency evacuation chairs at each stairwell. LPA observed there is outdoor shaded seating areas for memory care and assisted living. No bodies of water in the outdoor areas of the facility. LPA reviewed the fire alarm system paperwork showing the system passed its annual inspection on 3/5/2025. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts monthly emergency drills with the last drill conducted on 3/10/2025. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise, music therapy, games, and outings. LPA observed the emergency food and water supply. LPA reviewed five resident files and five staff files. All resident files contained required documentation including admission agreements, physician reports, and resident appraisals. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in cabinets in the medication room. Medications are being administered per physician order. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.