Routine inspection·April 6, 2026

On April 6, 2026, at 8:00 AM, Licensing Program Analysts (LPAs) Edward Kim and Nancy Guillen conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPAs met with Resident Service Director (RSD) Mirian Im. LPAs met with Executive Director (ED) Austin Morris and explained the purpose of the visit. The facility is licensed to operate for one hundred fourteen (114) non-ambulatory, of which ten (10) may be bedridden, and maintains a hospice waiver for twenty (20) residents. The facility is a two-story structure, which consists of the following: one hundred twelve (112) resident bedrooms, thirteen (13) offices, one hundred sixteen (116) bathrooms, waiting area, hair salon, first floor activity area, second floor activity area, memory care dining room, main dining room, kitchen, memory care courtyard, and two outdoor areas with outdoor covered patio. LPAs toured indoor and outdoor physical plant with RSD Im. There is an fountain with no water in one of the outdoor areas. All rooms were inspected. Beds and bedding supplies were in good condition with adequate lighting as well as storage for each resident’s personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The following resident apartments were inspected: 105, 113, 120, 123, 135, 143, 158, 203, 254 and 271. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 106.7 degrees F and 114.2 degrees F. A comfortable temperature of 75 degrees F was maintained in the facility. Evaluation Report Continues on LIC 809-C 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). LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Some storage areas for personal hygiene, toxins, cleaning supplies, and sharps objects were stored and inaccessible to residents. LPAs observed housekeeping cart kept under staircase across from room 126 had an Envio Care Natural Disinfectant spray bottle and Betco Smoke & Odor Spray Bottle that were not locked away and were accessible for 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 and supplies are stored in the kitchen and in a storage room closet next to the kitchen. Emergency water is stored in a storage closet in Skilled Nursing across from room 183 and room 184. A working telephone (714) 844-0967 remains available. LPA Kim reviewed the facility’s plan of operation, emergency and disaster plan, and fire/safety drill log. The facility last conducted an Emergency Drill on March 25, 2026. The facility has fire extinguishers that are charged, and they were all serviced on October 23, 2025. Smoke detectors and carbon monoxide detectors were operable and tested by CAL Building Systems on March 23, 2026. First Aid was maintained and contained all the necessary elements. LPA Kim conducted an audit of ten (10) resident files (R1-R10), ten (10) staff files (S1-S10), and medication and medication administration record that were in order and complete. LPA conducted seven (7) resident interviews and six (6) staff interviews. Based on today’s visit, a deficiency is being cited as per the Title 22 Division 6 Chapter 8 of California Code of Regulations (CCR). LPA observed in staircase across from room 126, there was a housekeeping cart left under the staircase with cleaning supplies left out. LPA observed an Envio Care Natural Disinfectant spray bottle and Betco Smoke & Odor Spray Bottle that were not locked away and were accessible for residents. An exit interview was conducted, and a copy of this report, LIC809D, and appeal rights were provided to Executive Director Austin Morris.