Routine inspection·June 19, 2025

On June 19, 2025, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. LPA met with the Director of Assisted Living (DAL), Neda Armanfar, and Administrator, Valerie Alves, and disclosed the purpose of the inspection. The facility consisted of a combination of Independent Living (IL), Assisted Living (IL) and Memory Care (Canvas) units. Memory Care units were located on the first floor and Assisted Living units were located on the second floor in the same building. The Independent Living building had multiple wings with 4 floors each. The Administrator informed the LPA that the facility had 594 residents in care at the time, including 33 in Assisted Living, 18 in Memory care, and 543 in Independent Living. At 12:40 PM, LPA initiated a walk-through of the facility, accompanied by ALD. LPA inspected the main kitchen in the Independent Living building and found it clean. The refrigerator, freezer, and pantry cabinets were checked, and there was a sufficient supply of fresh perishable food for two (2) days and nonperishable staples for seven (7) days. No expired food items were found. Open food items were wrapped and dated. The dining rooms in Assisted Living and Memory Care were inspected and were found to be clean, with all furniture in good repair. A five-week food menu and menu with alternate food options were available to the residents. LPA inspected the fire extinguishers mounted on the hallway walls in Assisted Living and Memory Care and found them fully charged, with the last service tag dated 08/14/2024. The fire alarm, smoke detector, and fire sprinkler systems are tested annually by a third-party vendor, Everon Solutions, with the last inspection completed on March 27, 2025. Continued on LIC809-C LPA inspected randomly selected eight (8) resident rooms in Assisted Living and Memory Care units. The rooms were found to be clean, well-lit, and equipped with the required furniture. LPA inspected the private bathrooms in random rooms. The bathrooms contained soap, grab bars, towels, a trash can, and non-slip flooring. The hot water temperature at the sink faucets measured between 118.1°F to 119.8°F. “Oxygen in Use” signs were observed posted outside the residents’ room where oxygen was administered. Two locked storage rooms were inspected. One storage room contained hand sanitizers, water bottles, wipes, gloves, and incontinence supplies. The second storage room contained clean linens. LPA inspected grand salon activities room, library, fitness center, card games room, and common living room areas. LPA observed residents watching movie and engaged in recreational programs and activities. A monthly activity calendar was available for the residents. All common areas were free from obstructions, and hallways were well-lit. Evacuation chairs were observed in the stairwells. LPA inspected locked laundry stations in Memory support and Assisted Living and observed washer and dryer units. Sharp objects, detergents, and chemicals were observed to be locked and inaccessible to persons in care. LPA toured the outside courtyard and patio areas and found passageways in good condition, free of obstructions, and without any blocking or tripping hazards. These areas had patio tables, chairs, and umbrellas for residents’ use. Delayed egress was observed on exit doors. No accessible bodies of water or hazards were observed. LPA observed locked centrally stored medication carts in the Assisted Living and Memory Support units. Medications were organized separately for each resident. Narcotics were locked. All medication bottles and bubble packs were properly labeled. Centrally Stored Medication Records were reviewed and found to be complete. LPA reviewed six (6) staff personnel records and five (5) resident records. The LPA observed that 5 of 5 residents had the Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, Personal Rights, and Consent forms. LPA observed that 6 of 6 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 6 of 6 staff members were associated with the facility. Continued on LIC809-C LPA inspected the first aid kit and found it fully stocked. Emergency Drill Logs were reviewed, and it was observed that Emergency Disaster (Fire and Earthquake) Drills were conducted quarterly, with the most recent drill completed on 04/10/2025. The following updated forms are requested to be submitted to CCLD by 06/26/2025: LIC 500: Personnel Report LIC 308: Designation of Facility Responsibility Certificate of Liability Insurance Administrator Certificate(s) No deficiencies were cited during today's visit. An exit interview was conducted with the Administrator. A copy of this report was provided to the Administrator, Valerie Alves, whose signature on this form confirms receipt of the report.