Routine inspection·December 26, 2024

Licensing Program Analysts (LPAs) Marcela Yanez and Manuel Monter conducted an unannounced Required 1 Year visit and met with Sandra Mirasol, Residential Living Director (RLD). LPAs stated the purpose of the visit. LPAs toured Assisted Living building with RLD inside and out, which include upstairs and downstairs. LPAs randomly inspected the following, but not limited to resident bedrooms: 45,47, 60, 66,70,and 72 LPAs randomly tested 4 resident bedrooms water with thermometer and measured range from 116.0 to 118.0 degrees F. LPAs also inspected the dining area and kitchen of the Assisted Living building . LPAs observed the kitchen area LPAs observed perishable food supply of at least two days and a non-perishable food supply of at least seven days . No obstructions were noted during tour. LPAs toured the Memory Care building inside and out. LPAs randomly inspected the following, but not limited to resident bedrooms: 1,2,3,4,5 and 9. LPAs randomly tested 6 bedrooms water temperature with thermometer and measured to range from 110.0 to 115 degrees F. LPA tested delayed egress doors which activated auditory sound when pressed. LPAs toured the Independent Living with RLD inside and out which included 3 floors and multiple different buildings. LPAs randomly toured the following, but not limited to, resident bedrooms: M151, M153, M154,M155, Q66,M355, and P397. LPA observed fire extinguisher was last serviced on 04/16/2024. LPA reviewed Fire and Earthquake log. the last Drill was last conducted on 12/06/2024. Facilities Sprinkler system was last inspected on 09/06/2024 Page 1 Out of 2. LPA reviewed resident records for 10 residents.. LPA reviewed 5 staff records and found them to be complete. LPAs interviewed 13 residents and 3 staff. LPA provided RLD with a flyer "Important updates to Dementia Care & Miscellaneous Changes, Effective January 1, 2025." LPA requested a copy of the following documents: 1.LIC 500, Personnel Summary 2. LIC 308, Designation of Administrative Responsibility 3.LIC400, Affidavit Regarding Client/Resident Cash Resources 4. Liability Insurance 5. Qualifications of Administrator (Certificate) 6. Please review your facility program for updates (incorporating new laws and/or regulations) No deficiency were cited as per California Code of Regulations Title 22. This report was reviewed with Residential Living Director Sandra Mirasol and a copy of this report and appeal rights were provided. Page 2 Out of 2. END OF REPORT.