Routine inspection·September 23, 2023

Licensing Program Analyst (LPA) Christina Valerio and LPA Arielle Pascua arrived to the facility unannounced to conduct an annual required inspection. LPA met with front desk staff, and explained the purpose of the visit. LPAs were met by Marketing Director (MD), Michelle Herman, and informed us that Administrator Ella Frick appointed Michelle to carry out the visit. LPAs toured the physical plant with MD Herman to ensure compliance with Title 22 regulations. The facility is a 5 floor building with Assisted Living Rooms and a Memory Care Living Space. LPAs toured each floor and inspected random resident apartments. Rooms were observed to be clean, organized, free from debris, and free from odors. All emergency exits were clear from obstructions. Common areas and dinning rooms were observed to be clean. Water temperature in the bathrooms delivered hot water at 109.8 degrees Fahrenheit and 114.3 degrees. Kitchen areas were observed to be clean and free from any debris. The facility was observed to have a food supply to meet the requirements of non-perishable food items for 7 days and perishable items for 2 days. An emergency supply of food and water was observed in a locked storage area. Medications, cleaning supplies, and toxins were observed to locked away and inaccessible to residents in care. LPAs observed 2 elevators. The inspections for the annual inspection had an expiration date of 01/24/2019. According to MD Herman, the City has not done inspections due to COVID, however, the Maintenance Director will follow up to see if inspections have resumed. Residents in the Assisted Living areas were observed to be enjoying pastries and coffee in the cafe, watching a movie in the cinema room, eating snacks, engaging in family visits, reading newspapers, and walking around the building. Staff were observed assisting residents, cleaning common areas and apartments, assisting with medications, and completing administrative tasks. Continues on LIC 809-C... Continued from LIC 809 LPAs inspected 10 resident files. 8 out of 10 resident files reviewed did not have an updated LIC 602 or an LIC 602 located in the file. 4 out of 10 resident files reviewed did not have a resident appraisal on file. LPAs inspected 5 staff files. Staff files were observed to be current and up to date. LPAs spoke to Administrator Ella Frick via cell phone to discuss licensing fees that were observed to be past due. Administrator Ella stated that it may be an administrative error and will provided additional information to LPA on 09/25/23. Technical Assistance was provided. LPA requested the following documentation be sent to their assigned LPA/Regional Office: LIC 500, LIC 308, Liability Insurance Information, and LIC 610D Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies are being cited today on the LIC 809 - D page. Failure to correct deficiencies may result in civil penalties. Appeal Rights were provided. An exit interview was held with MD Herman, and a copy of the report was provided in-person.