Routine inspection·September 4, 2025

On 9/4/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their annual inspection visit. LPA met initially met with staff on duty and explained the purpose of the visit. The Administrator Elena Cuevas was notified and arrived shortly after. Overview : Facility is a 3-story building. Facility is licensed to serve up to 170 residents, ages 60 and above. Ambulatory is approved for all 3 floors. Non-ambulatory is approved for the 1st and 2nd floor. Bedridden is approved for the 1st floor only. Facility is approved for 20 bedridden residents. Facility has hospice waiver for 25 residents. Facility has clearance for delayed egress in the Memory Care area only. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident units, resident bathrooms, living and dining room and outdoor areas. LPA inspected 5 resident units, both in the Assisted Living (AL) and Memory Care (MC) areas. Each AL units have its own bathroom. MC units have shared bathroom, Jack and Jill style. Hot water temperature taken in resident bathrooms were between 108 and 118 degrees Fahrenheit. Fire extinguishers were observed throughout the hallway and were last inspected on 9/21/2025. Smoke and carbon monoxide detectors were observed throughout. One elevator was tested and found to be in good working condition at this time. Facility has 5 stairwells. One stairwell was inspected and an evacuation chair was observed in the 3rd floor. Outdoor area was inspected. LPA observed outdoor furniture for resident use. Emergency walkways were observed to be unobstructed. Fence and gates were in good condition. One door with delayed egress was tested in the MC area and found to be in good working condition at this time. {809-1} Record Reviews: Review of 5 resident files was conducted, include, but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Review of 5 staff files include, but not limited to, review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. LPA also reviewed fire drill/disaster drill records and fire alarm inspection report; facility conducts at least quarterly fire drill. Last fire drill was on 8/23/25 for the NOC shift. Last fire alarm system inspection was on 6/16/25. Fire sprinkle system inspection and testing was last conducted on 5/12/25. LPA requested a copy of current/updated Liability Insurance Certificate, LIC500, LIC308 and LIC610E during this visit. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were cited. Exit interview was conducted with Elena. A copy of the report was provided upon exit.