Routine inspection·October 4, 2025

Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA was granted entry to the facility by front desk staff. LPA later met with Hannah C. Lewis, Activity Director. The facility is a Residential Care Facility for Elderly (RCFE), Licensed capacity is (77) current census (61). LPA Farlow was accompanied by Activity Director, Hannah Lewis and Health Service Director, Kiara Estrella to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected residents bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms, and kitchen to be at 117.9, 118.0 and 116.2 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. The facility has a covered patio for residents in care in the Assisted Living units and Memory Care unit. There was a designated storage space for client/staff files. Medications are kept inside Med-Tech Room inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed six (6) resident files for admission agreements, updated physician reports, and needs and services plans. LPA Farlow also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA observed two (2) out of six (6) residents had expired or missing physician report and 1 resident file was not available for review to verify the admission agreement. A deficiency was cited. LPA observed two(2) out of five (5) staff file were missing a CPR/training or criminal records clearance. A technical violation issued. LPA observed the facility did not review or have available for review the LIC610E Emergency Disaster Plan For Residential Care Facilities For the Elderly and LIC9282 Residential Infection Control Plan. A technical violation issued. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, One deficiencies was cited and two (2) technical violation were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, and LIC809D was discussed and provided to Hannah Lewis, Activity Director.