Routine inspection·July 31, 2025

On July 31, 2025, at 8:30 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) Tami Ojwang and explained the purpose of the visit. ED Tami Ojwang explained to LPA Kim that Maintenance Director (MD) Armando Galvan would conduct a physical tour with the LPA. The facility is licensed to operate for fifty-three ambulatory residents and two hundred and eight (208) non-ambulatory, of which eight (8) may be bedridden, and have a hospice waiver for twenty (20) residents. The facility has two buildings with three stories each, which consists of the following: one hundred forty-six (146) resident bedrooms, seven (7) office rooms, three medication rooms, one hundred and fifty (150) bathrooms, two waiting area, seven activity areas, exercise room, theater, three dining areas, kitchen, and outdoor covered patio areas. LPA Kim toured indoor and outdoor of the physical plant with MD Galvan. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, 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 bedrooms were inspected in Building A: Resident Room 104, Resident Room 113, Resident Room 116, Resident Room 130, Resident Room 203A, Resident Room 213, Resident Room 228, Resident Room 301A, Resident Room 304B, Resident Room 310, Resident Room 317, Resident Room 326, and Resident Room 334. The following bedrooms were inspected in Building B: Resident Room 106, Resident Room 123, Resident Room 205, Resident Room 218, Resident Room 305, and Resident Room 323. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 112.6 degrees F and 117.5 degrees F. A comfortable temperature of 77 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. During the visit, LPA Kim observed the facility's infection control practices. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Emergency water is stored outside by the kitchen exit. Emergency food and emergency supplies were stored in a storage shed in the back of the facility. A working telephone (562-594-5788) remains available. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. The facility conducts a Fire/Safety Drill quarterly and was last conducted on June 25, 2025. All facility fire extinguishers were charged, and they were all serviced on October 10, 2024. All smoke detectors and carbon monoxide detectors were operable and were last inspected on January 23, 2025, by Cal Building Systems. Certificate of Liability insurance is effective May 1, 2025, and expires on May 1, 2026. LPA conducted eight (8) resident interviews and one (1) staff interview. Due to time constraints a continuation inspection will be conducted on a later date: 1) an audit of resident files, 2) An audit of staff files, 3) An audit of medication and medication administration record, 4) staff interviews, and 5) an audit of first aid kit. An exit interview was conducted, and a copy of this report was provided to Executive Director Tami Ojwang.