Routine inspection·October 14, 2025

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with General Manager (GM) Alex Den. LPA stated the purpose of the visit. LPA toured the interior and exterior of the facility with GM to include the kitchen, resident rooms, dining room, bathrooms. All exit and passageways were free and clear of obstruction. LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed refrigerator temperature a 40 degrees F and Freezer at -6 degrees F. The facility was equipped with smoke and carbon monoxide detectors. The facility fire system was last inspected by a third party vendor on 7/24/2025 and passed inspection. Fire extinguishers were last serviced on 4/28/2025. LPA reviewed the facility first aid kit, and it was observed to be complete. The facility emergency drill log was reviewed. The facility's last drill was conducted on 9/24/2025. LPA toured 10 random resident bedrooms. All 10 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA toured 6 bathrooms. All 6 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature with a range from 107.2 F to 116.6 F. Page 1 of 2 During tour of R10's room in Garden House (Memory Care), LPA observed a Clorox toilet bowl cleaner in a storage cabinet above the toilet. Based on review of R10's physicians report dated 6/26/2025, R10 has neurocognitive disorder. R10 also has a CA Toxic Chemical Storage notice dated 6/17/2025 and signed by R10s physician, stating R10 should not have 'bleach and like items' stored in his/her apartment. GM states she does not why there was a Clorox toilet bowl cleaner in R10's bathroom cabinet. A deficiency is being issued. LPA reviewed 5 resident records. LPA reviewed 5 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPA reviewed 5 staff records. A deficiency was cited during today's visit per California Code of Regulations Title 22. See LIC809-D for more information. An exit interview was conducted with General Manger Alex Den and a signed copy of this report and appeal rights were provided.