Routine inspection·November 7, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. Upon arrival, LPA was greeted by Jackie Barron, Assisted Living Coordinator. LPA explained the purpose of the visit. Administrator Mitch Leichter and Business Director Dalia Gutierrez were unavailable at the time of the inspection. At the time of arrival, there were three care staff on duty with twenty-three (23) residents in care. Entrance interview conducted. The facility is a one-story Residential Care Facility for the Elderly (RCFE) licensed for 36 non-ambulatory of which ten can be bedridden. The facility has a hospice waiver for twenty (20) residents. Currently, there are five (5) residents on hospice. A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors, and floor coverings were checked. The facility was seen to be in good repair inside and outside. There are four fire extinguishers, inspection was current as of 11/3/2025. The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. Frozen foods are properly wrapped and stored appropriately. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. Medications, First Aid kit, and additional first aid supplies are kept in a locked centrally stored cabinet. First aid kits were observed to be complete. Please continue to 809-C, Pg 2. Residents participate independently in holiday and birthday celebrations, live entertainment, local volunteer group participation, Cycling Without Age, local university and community college activities, physical exercise and activities, and outings to parks, restaurants, and other local attractions. The front entry consists of a sidewalk and concrete ramp entering the facility into the reception area. The facility consists of two wings and an additional building for resident occupancy adjacent from the main building. The main building is a horseshoe shaped building with approximately eighteen residents’ rooms. The adjacent building has seven resident rooms. The facility maintains a comfortable temperature. 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 Medication Administration Records (MARs). Medications are administered per Physician’s orders. Review of staff records reviewed revealed Staff 1 (S1) and Staff 2 (S2) have received a criminal background clearance, however have not been properly associated to the facility. Additionally, staff records reviewed revealed a clerical error occurred during the processing of Staff 3’s (S3’s) hiring process and (S3) must undergo a new criminal background clearance in order to be cleared and associated to the facility prior to working in the facility. From approximately 12:57 pm to 1:47 pm, LPA confirmed with Community Care Licensing Division, Woodland Hills Regional Office that S1 and S2 were not properly associated to the facility and a clerical error occurred during the processing of S3’s application. Due to time restraints, LPA will return at a later date to continue the inspection. The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Civil penalties issued. Exit interview conducted. A copy of the report and appeal rights were issued at the time of the visit.