Routine inspection·April 28, 2026

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection visit at the above-named facility. Upon arrival, LPA was greeted by Marjan Albert, Administrator and Scott Bigler, Associate Executive Director and explained the purpose of the visit. The facility is a 16-acre Residential Care Facility for the Elderly (RCFE) Continuing Care Retirement Community. It consists of Independent Living, Assisted Living, and Memory Care. The skilled nursing facility is not within Community Care Licensing Division’s jurisdiction. The Independent Living section has approximately 218 private residential apartments. The Assisted Living unit has approximately 36 residential apartments. The Memory Care unit consists of a secure unit with approximately 16 apartments. The facility has a hospice waiver for 10 residents. Currently, there are five (5) residents on hospice. Resident’s activities address the “eight dimensions of holistic wellness”. These activities include but are not limited to fitness programming, life-long learning, art classes, religious studies, book clubs, technology education, spiritual programming, inter-generational opportunities with students in local schools, music appreciation and participation, outdoor games such as bocce ball, corn toss, ping pong; a Residents’ Counsel, and scenic drives to museums, parks, and cultural centers. There are four dining areas and eateries on the campus. The outdoor area consists of a 25-meter swimming pool with a jacuzzi in a locked fenced area, a gym, fitness studio, putting green, walking paths, botanical garden, coy pond, and shaded sitting areas conducive for outdoor visitations. The administrative offices consist of a two-story building with Sales & Marketing, Human Resources, Transportation, a bank, Director of Philanthropy, Business Office Specialist, Resident Life Director, and Office of Executive Administrative Assistant, Executive Director and Associate Executive Director. Please continue to 809-C, Pg 2. The facility has a daily check-in process for Residential Living residents. A daily follow-up check-in is conducted if a resident has not “checked-in”. Administrator and Associate Executive Director certificates are valid. Staff files reviewed had health screenings, current first aid certificates, and all required trainings. Residents’ files were reviewed. LPA noted that on file for each resident was the following: Physician’s Reports, Admission Agreements, Medical Assessments, Identification and Emergency information, Appraisals/Needs Service Plan, and Medical Accounting Records (MARs). At approximately 2:54 pm, medication review revealed Resident 1’s (R1’s) morning medication Amlodipine 2.5mg tablet had one extra tablet and R1’s Escitalopram 5mg medication had one extra tablet. Further, LPA reviewed a self-reported incident wherein Resident 2 (R2) was “mistakenly” administered seven medications prescribed to another resident on 1/7/2026. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted. Copy of report and Appeal Rights issued via email.