Routine inspection·November 20, 2025

LPA Audrey Jeung toured facility and grounds of this Continuing Care Retirement Community, which is 11 stories tall and accommodates independent residents and assisted living residents in 20 units on the ground floor. There is an activity room with piano, an art room, and 4 guest bedrooms for visiting overnight guests of residents on the 11th floor. There is a covered swimming pool and jacuzzi tub, as well as a shallow pond on premises. Pool and jacuzzi can be accessed by a door fob issued to independent residents only. Common areas on the ground floor include beauty salon, game room, fitness room and library. There are no fire safety hazards observed. Hot water temperature is tested at 116 degrees in room 117. Food supply, signal system, and first-aid kit are inspected. Emergency food supply consists of dehydrated canned food, which must be reconstituted with water. Facility maintains supply of fresh water in addition to 2 large capacity boilers on the roof. Reports of quarterly consultations by registered dietician are maintained, Fire and emergency drills are documented and occur at least quarterly. "Stryker" evacuation chairs are maintained on the 6th floor stair landings; there is an evacuation chair for each of 4 stairwells. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as required staff records. Martin Herter is a certified RCFE administrator (x 12/25) that oversees facility operations. Resident records will be reviewed at a later date--including Centrally Stored Medications Records--due to time constraints. Three residents are receiving hospice services at this time. An updated Disaster and Mass Casualty Plan is readily available. The following forms are requested to be completed and returned to CCL by 12/4/25: • LIC 309 Administrative Organization for BASS Inc. and PRS Inc. • LIC 500 Personnel Report Deficiencies of the California Code of Regulations, Title 22 are observed and cited on following pages.