Routine inspection·February 21, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required Inspection of the facility. At the time of arrival, there were four (4) staff on duty and thirteen (13) residents in care. LPA met with Emily 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 fourteen (14) residents. The facility is a memory care facility for residents with a dementia diagnosis. The facility has a fire clearance for fifteen (15) non-ambulatory residents and a hospice waiver for six (6) residents. Currently, there are three (3) residents on hospice residing in the facility. LPA toured the facility with Administrators Emily Gerr. The facility consists of a large common area used for dining and activities. Equipment and supplies are kept in a locked cabinet located in the hallway of the facility. Residents participate at will in activities such as entertainment with live music, karaoke, board and card games, arts and crafts, NatureTrak, Cycling without Age, and general outings to parks, museums, and special events. LPA observed a comfortable room temperature throughout the facility. LPA observed the living room and dining area to be neat and clean. The kitchen area consists of two sinks, a dishwasher, refrigerator, freezer, stove/oven, microwave, coffee makers, toasters, fresh juice machine, mixer/blender, waffle iron and two dishwashing machines. At approximately 1:35 pm, LPA reviewed Department of Social Services, Community Care Licensing Division, Licensing Information System (LIS), Facility Personnel and facility staff roster and determined Staff 1 (S1) has worked in the facility since November 2024 and has not been properly associated to the facility prior to employment. Please continue to 809-C, Pg 2. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors, and floor coverings were checked. There are three (3) fire extinguishers on the premises last serviced on 3/28/2024. There are approximately fifteen (15) smoke alarms and one (1) carbon monoxide detector all in good working order. Due to time restraints, LPA will return at a later date to conclude the inspection. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted. Copy of report and appeal rights issued at the time of the visit.