Routine inspection·January 30, 2026

On January 30, 2026, 8:40 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Executive Director (ED) Maria Kauten and explained the purpose of the visit. The facility is licensed to operate for one hundred fifty-two (152) nonambulatory residents of which eight (8) may be bedridden and have a hospice waiver for fifteen (15) residents. The facility is a three-story structure and consists of the following: one hundred and one (101) resident bedrooms, nine (9) offices, one hundred and ten (110) bathrooms, living area, two dining areas, bar and lounge, TV room, kitchen, bistro, great area, theater room, fitness center, massage room, general outdoor patio area, outdoor dining courtyard, dog park, and a memory care outdoor patio area. LPA Kim toured inside and outside of the physical plant with ED Kauten. There were no obstructions on the premises. There are two small fountains in the general outdoor courtyard and a small fountain in the Memory Care Courtyard. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, a chair, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following Resident’s rooms were inspected: Resident Room 104, Resident Room 112, Resident Room 114, Resident Room 123, Resident Room 129, Resident Room 212, Resident Room 224, Resident Room 230, Resident Room 312, Resident Room 320, and Resident Room 331. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 111.1 degrees F to 115.7 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. Evaluation Report Continues on LIC 809-C LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, emergency water, and emergency supplies were stored in the kitchen and staff emergency work room. The facility has twenty-one (21) fire extinguishers that were charged, mounted throughout the facility, and serviced on October 9,2025. During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The smoke detectors and carbon monoxide detectors were inspected by Calbuilding Systems on October 9, 2025. A working telephone (714-869-1940) and an internet capable devices for video teleconferencing purposes remains available. LPA observed the facility Evidence of Liability Insurance was effective 08/06/2025, and expires on 08/06/2026. Emergency Drills were conducted quarterly and last conducted on January 21, 2026. LPA Kim conducted an audit of twelve (12) resident files (R1-R12), nine (9) staff files (S1-S9), and medication and medication administration record were all in order and complete. LPA Kim conducted five (5) staff interviews and eight (8) resident interviews. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Executive Director Maria Kauten.