Routine inspection·January 14, 2026

Licensing Program Analyst (LPA) Liliana Silveira, made an unannounced visit to conduct the required Annual Inspection to ensure substantial compliance with Title 22 regulations. LPA Silveira was granted entry into the facility by Cognitive Enrichment Director Karen Moran, after identifying herself and stating the purpose of the inspection. The facility serves 52 non-ambulatory residents, age 60 and above, of which 8 may be bedridden. There is an approved Hospice Waiver for 12 residents. This is a two-story complex, equipped with delayed egress and secured perimeters. Currently, there are 18 residents living in the facility. LPA, accompanied by Karen, toured of the facility. The tour was conducted inside and out and included a sample of resident units, the dining area, recreation rooms, and food storage areas. The last disaster drill was conducted on December 18, 2025. No bodies of water are on the premises. Passageways were free from obstructions. According to Karen, there are no weapons and/or ammunition stored on the premises. Signal Systems was available in each resident unit and LPA observed functionality of said system. Delayed Egress and secured perimeter doors were also tested for functionality. Resident's room temperatures were within a comfortable range. Each resident had clean and sufficient bed linens. All extra linens, towels, and washcloth inventory was kept in each resident’s room. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Hot water temperature in residents’ bathrooms were compliant. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] Facility has a two-day supply of perishable foods and a seven-day supply of nonperishable food items. Food was observed to be properly stored and labeled. Food menus and activities schedule were posted. Chemicals and cleaning supplies were stored in a locked closet. The medication room is secured and has a locked medication cart, emergency supplies, and medications were labeled and kept in compliance with label instructions. Staff records review verified that all staff records were complete and compliant. Staff records review verified that all staff have a current First Aid certificate and at least one staff member, per shift, has a First Aide/CPR certificate. Resident records were reviewed and confirmed compliant. Administrator’s certification is current. LPA also interviewed staff and spoke briefly to residents. No deficiencies were cited at the time of visit. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet the residents needs. An exit interview was conducted and this report was discussed with Karen Moran. A copy of the report, along with Licensee/Appeal Rights (LIC 9058 01/2106) were provided to Karen via email. Signature on this form acknowledges receipt of the documents.