Routine inspection·February 24, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required Inspection of the facility. At the time of arrival, there were fourteen (14) residents in care and two staff, Business Office Manager, and Administrator Lisa Gerr on duty. LPA met with Lisa Gerr, Administrator and explained the purpose of the visit. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE) with a capacity of thirty-six (36) residents. The facility is a memory care facility for residents with a dementia diagnosis. The facility has a fire clearance for thirty-six (36) non-ambulatory residents of which thirty-six (36) can be bedridden and has a hospice waiver for ten (10) residents. Currently, there are two (2) residents on hospice and no bedridden residents residing in the facility. LPA and BOD toured the facility to assess the physical environment and accommodations. The following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. Upon entry, there is a gate that requires a code to enter the premises and a phone number posted to the facility for those who do not have a code. Entering through the gate, is a large walkway and driveway leading up to a large front patio with seating areas including patio chairs, tables with umbrellas, couches, and mini-couches. Entering past the patio area, the administrator’s office is located on the west side of the building. Staff files and other confidential information is kept in the administrator’s office. Entering into the main area of the facility is the dining area/common area on the east side of the room. Socializing, meals, and activities are held in the dining/common area. Please continue to 809-C, Pg 2. The kitchen is located at the back of the dining/common area and is inaccessible to residents in care. LPA observed seven (7) days of non-perishable food items and two (2) days of perishable food items. LPA observed approximately 16 heads of iceberg lettuce loosely in a box without proper packaging and date stamped. LPA reviewed Resident 1's (R1's) hospice file and determined no hospice notification has been submitted to CCLD within five (5) business of having been placed on hospice. At approximately 3:19 pm, LPA reviewed Department of Social Services, Community Care Licensing Division, Licensing Information System (LIS), Facility Personnel and facility staff roster. Record review revealed Staff 1 (S1) has worked in the facility since 8/23/2024 and has not been properly associated to the facility prior to employment; Staff 2 (S2) has worked in the facility since 11/1/2024 and has not been properly associated to the facility; and, Staff 3 (S3) who was hired on or about 10/16/2024 has not been properly associated to the facility. Due to time restraints, LPA will return at a later date to continue the annual 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. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. Due to technical difficulties, copy of report and Appeal Rights issued via email.