Routine inspection·March 12, 2026

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 Executive Director (ED) Carmen Galicia and explained the reason for the visit. Facility is licensed for 152 ambulatory residents, of which 96 may be non-ambulatory, with a hospice waiver for 30 residents, and 30 maybe bedridden on the first and second floor. Currently there are 116 residents and 13 are on hospice during today's visit. LPA Tea reviewed twelve resident files and six staff files. Resident files and staff files contained all required documentation. Administrator's certificate is currently pending renewal due to the backlog processing. Administrator completed all course work and submitted renewal. LPA Tea along with ED Galicia toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a three-story building. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are 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. Last disaster drill was conducted February 10, 2026. 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. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured between 116.4 to 118.6 Fahrenheit degrees. LPA pulled emergency pendants in resident’s bathrooms; staff came to the room to respond to the alert within four minutes. LPA also tested the push pendant that residents press for assistance, staff came within two minutes. Common areas were clean and clear of hazards; doorways were free of obstructions. Facility kitchen and dining area were inspected. Perishable and non-perishable food supply was checked Annual inspection continued on LIC809-C and adequately stocked at time of visit. First aid kits had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. LPA checked the outdoor area of the facility. There is a patio area with tables, chairs, benches and umbrella for residents to sit and relax. There is a designated outside area for residents that smoke that is far away from the facility. There is also a small garden for residents. LPA observed emergency food and water supplies stored in a room on the third floor. At the time of the visit, LPA Tea observed residents eating in the dining room, watching TV in the TV room and reading quietly in the library. The facility provides different activities for residents daily, which are posted throughout the facility. LPA reviewed medication storage and administration. Medications are stored in locked carts in the medication room. Medications are being administered per physician order. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation 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 An exit interview was conducted with Executive Director Carmen Galicia and a copy of this report was given to the facility along with a copy of the LIC858, 858C; and 859.