Routine inspection·December 15, 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 Myra Aragones, Executive Director, and LPA explained the nature of the visit. The facility is licensed to operate for (250) non-ambulatory, of which (10) may be bedridden elderly adults ages 60 and above. The facility is approved for (20) hospice residents. Currently the facility has (164) assisted living residents, (30) residents in memory care, and (11) hospice residents. Delayed egress doors for memory care only. This facility consists of two main areas. The assisted living and the memory care unit which are protected by delayed egress exits. The facility is a three-story structure located in a commercial neighborhood. It consists of the following: (211) resident bedrooms, (211) resident bathrooms, med rooms, a conference room, dining rooms, a laundry room, a mailroom, business offices, a commercial kitchen, a movie theater, (3) multi-purpose rooms, (8) storage rooms, (13) public restrooms, courtyard patio area, a salon, an exterior pool (under maintenance at time of visit), an employee lounge, and rooftop with art & crafts room, sun room area and lounge. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA Martinez along with the Interim Executive Director toured the physical plant of both the assisted living and the memory care unit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at Continued on LIC809-C time of visit. Maintenance records were observed in the main kitchen. LPA observed a bistro adjacent to the main dining room where residents can obtain different snacks and beverages selections than in the main dining area. The bistro offers snacks all day so residents may dine when convenient. LPA observed menus and the food offered is varied and healthful. Kitchen was inspected. During the tour LPA observed residents involved in an activity 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 first floor where med carts are stored when not used. Med carts are used through the floors to pass out medication to residents. 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. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. LPA inspected bedrooms for residents in the memory care unit and in floors 1-3. 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. Several resident bathrooms on each floor were tested for water temperature and water temperature measured between 105.6 to 109.4 Fahrenheit degrees in tested bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA pushed the restroom call button in various resident rooms and response times were within 10 minutes. LPA observed several residents who appeared clean, and happy. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a locked in storage closets throughout the facility. LPA toured the memory care unit and observed a kitchen/ dining room as well as posted activity schedule for memory care residents. LPA observed residents in the memory care unit with care staff present. LPA observed the delayed egress exits to be functioning. Carbon monoxide detectors tested and noted to be operational. Fire extinguishers are fully charged and had a service date of September 18. 2025. Smoke detectors and sprinkler system are tested yearly by an outside agency, and LPA was provided with testing documentation, last testing was done February 24-28, 2025. Emergency drills are being conducted monthly on every shift with the last drill conducted on November 19, 2025. LPA observed stairwells have an emergency evacuation chair. Outside grounds have ample shaded seating for residents. LPA observed several courtyards with shaded seating areas for residents’ enjoyment. LPA observed a swimming pool in the outside perimeters of the assisted living side with a fence around it which is under maintenance and it not being used by residents Continued on LIC809-C until repairs are completed. LPA observed the pool gate that has a self-latching and has a key card pad for access at the gate door for inaccessibility. LPA measured the pool fence was observed to enclose the entire pool area. LPA reviewed 15 resident files and 15 staff files. All resident files contained required documentation including updated physician reports and care plans. Staff files contained required documentation including health screens, first aid, and fingerprint clearance. 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.