Routine inspection·October 16, 2025

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by receptionist Samantha Barrientos. LPA discussed the purpose of the visit with Executive Director Bee Bee Smith. According to the facility’s license, there may be a maximum of 80 residents, all of whom may be non-ambulatory at any given time at the facility site. The facility is approved for 15 bedridden and 20 hospice residents. During today’s inspection, the facility’s current census is 51 residents living at the facility, of whom 51 were present at the facility site during the inspection. The facility comprises three sections, which may serve residents with similar care needs. LPA, accompanied by Executive Director Smith, toured the interior and exterior of the facility and inspected private shared, and individual rooms, kitchen, laundry, and maintenance areas. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings – chairs, lamps, drawers, etc. Doors, windows, toilets, and showers were in working order. LPA observed extra linens and hygiene supplies were present in the residents’ individual closets as well as the facility's linen closet. Personal Protective Equipment was present. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 73°F. Each room had its own designated thermostat to adjust the temperature to the residents' comfort. Hot water temperature at taps accessible to residents was also compliant. Level 1: sink in a private room restroom #1 delivered hot water at 115.3°F; sink in a shared room in restroom #2 delivered hot water at 111.9°F; [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] sink in a private room restroom #3 delivered hot water at 106°F; sink in a shared room in restroom #4 delivered hot water at 105.3°F; Level 2: sink in a private room restroom #5 delivered hot water at 115°F; sink in a shared room in restroom #6 delivered hot water at 110.7°F; The Club: sink in a shared room restroom #7 delivered hot water at 106.2°F; sink in a private room in restroom #8 delivered hot water at 107.8°F. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present. The Facility Kitchen Manager conducts weekly orders to have ample food stock present. Cooking, dining equipment, and utensils were present, and all were safely secured and stored. The residents' dietary restrictions were managed by the facility’s Kitchen Manager, and according to the manager, staff are fully trained to ensure they are aware of residents' food restrictions. The chemicals in the kitchen area are located in a secure closet area away from food items. There were no toxic chemicals or poisons accessible to residents. Housekeeping and laundry are managed by the facility’s Environmental Service Director. Chemicals are secured in the housekeeping carts, and carts are stored in a locked area of the facility. Laundry is conducted in a locked area of the facility, where the facility stores its laundry chemicals. Medications were properly labeled, as required, and stored in locked areas. LPA inspected the medication room and found that medications were properly labeled and stored in a locked cabinet. The facility-maintained medication logs which LPA reviewed. No pools on the premises, but the facility did have a fountain in the front area of the facility, which had decorative rocks inside to ensure there was no body of water accessible. Per Executive Director Bee Bee Smith, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and the facility telephone were all working. Fire extinguishers were present (08) and serviced within the last 12 months, but one fire extinguisher located in the back locked area needed to be re-serviced. First aid kits were complete (06) and readily accessible. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809-C] LPA briefly spoke with staff and residents and reviewed staff and resident records. LPA's visit did not raise any licensing concerns. The files that LPA reviewed contained the required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were no deficiencies observed or cited during today's annual inspection, but technical advisories were provided and may be seen on the LIC9102 pages of this report. An exit interview was conducted with Executive Director Bee Bee Smith to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Executive Director Smith to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E, to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov .