Routine inspection·December 15, 2025

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Executive Nursing Coordinator Ileen Lund (ENC). The facility's license shows a maximum capacity of 133 non-ambulatory elderly residents ages 60 and above, 16 of whom might be bedridden and a hospice waiver for 16 residents. LPA and ENC toured the interior and exterior of the facility and inspected different rooms in the three floors of the facility, which was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. While reviewing the medication room LPA observed that the medication for a specific client was not dispensed, and it was registered as dispensed, with no refusal notes on the electronic MAR. No pools, bodies of water or fireplaces exist on the premises. Per ENC, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited per California Code of Regulations, Title 22 (refer to the LIC809-D page). No Civil Penalties were assessed. Plan of Correction was jointly developed with the staff responsible. An exit interview was conducted with Director of Human Resources Mari Perez, to whom a copy of this report, the LIC 809-D pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.