Routine inspection·September 9, 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 Eric Jensen, Executive Director, and LPA explained the nature of the visit. Facility is licensed for building A floors 1-5 with 200 non-ambulatory residents, of which 15 may be bedridden. Facility has an approved hospice waiver for 20 residents. The facility currently has 74 residents and 7 residents are on hospice during today's visit. LPA Martinez along with Executive Director toured the inside and outside of the physical plant of the facility. LPA observed a dining room on the first floor. LPA observed menus posted and the food offered is varied and healthy. 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. During the tour LPA observed residents involved in activities 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 on the 2 nd floor. LPA observed and inspected medication carts that are used to dispense meds to residents and observed medication was labeled and stored inaccessible to residents in care. First aid kit was observe in the medication room and mounted on the wall throughout the facility First aid manual kept and observed in the medication room. he facility has apartment style bedrooms for residents. LPA inspected apartments; all required components were observed in inspected apartments. Each apartment has their own bathroom, LPA inspected resident bathrooms. Toilets and water faucets worked properly, grab Continued on LIC809-C bars were secure, and shower was free of mold/mildew. Resident bathrooms were tested for hot water temperature in floors 1-5 and water temperature measured between 106.1 -109.2 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA observed the restrooms equipped with a call button in various resident rooms and common spaces. Call button when pulled calls to caregiver pager as well as the front desk for response accuracy. Residents also use a pendant. LPA observed caregiver receive a call button notification and response time was immediate. LPA observed several residents throughout the facility who appeared clean, and happy. LPA observed several courtyards with shaded seating areas for residents’ enjoyment. LPA observed a swimming pool with a fence around it. LPA observed the pool gate has a self-latching entry door which opens towards the pool. The fence has a key lock at the gate door for inaccessibility. LPA measured the pool fence which measured 5ft from base of the floor to the top of the fence and it was observed to enclose the entire pool area. Toxic chemicals, cleaning solutions and disinfectants are stored locked in the housekeeping storage room in the basement floor. Carbon monoxide detectors tested and noted to be operational. LPA observed fire extinguishers throughout the facility that are fully charged and had a service date of July 19, 2025. Smoke detectors and sprinkler system are tested yearly by an outside agency, and LPA was provided with testing documentation, last testing was done July 29, 2025. Emergency drills are being conducted quarterly with a variation of shifts, LPA observed and reviewed Fire, drills and safety logs. Facility has evacuation chairs in the stairwells. LPA began file review. LPA reviewed seven resident files, all resident files contained required documentation including updated physician reports and care plans. LPA reviewed five staff files. Staff files contained required documentation including health screens, first aid, and fingerprint clearance. All employee files reviewed are associated to the facility. 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 Executive Director and a copy of this report was provided to the facility.