Routine inspection·September 17, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted and unannounced Required 1-year inspection visit and was met by Business Office Director (BOD) Mary Ann Bangsal and Maintenance Director (MD) Jaime Martinez. Executive Director/Administrator (ED/ADM) Minnie Lacson-Weber was not present due to prior commitment at the time of the visit. The facility serves adults age 60 and over, capacity of 148 for ambulatory and non-ambulatory and hospice waiver for 15. Upon entry to the facility at 1:10 p.m., LPA observed residents participating on the going activity, some of the residents were in the coffee area, some were in the dining area. LPA observed that hallways, walkways and emergency exits were free from debris and obstruction. LPA was accompanied by the Maintenance Director (MD) while conducting the inspection. LPA inspected the interior of the facility, including but not limited to the entryway, common room, dining room, kitchen and emergency food storage, emergency water storage, laundry room, resident rooms in the assisted and memory care area. LPA conducted an inspection of the facility kitchen and met with executive chef (EC). EC accompanied LPA to the walk-in refrigerator and freezer and the entire kitchen area including the prep area. LPA observed that the refrigerator temperature is at 32 degree F and freezer is at -4 degree F. LPA observed the kitchen to be in sanitary despite of the flurry of activity while preparing for an event. No resident is allowed in the kitchen. LPA observed that the dining area is kept sanitary and organized and open for residents to use. The facility has emergency drinking water supply and emergency food supply that are ready to eat in case of emergency. The facility has 2 days of perishable food and 7 days of non-perishable food. LPA inspected the memory care area and met with the Memory Care Director (MCD). MCD accompanied LPA in inspecting memory care resident rooms. LPA observed rooms were sanitary, and organized, no sharps or chemicals accessible to residents in care, bathrooms were equipped with grab bars and non-slip flooring. The rooms have ample storage to store personal belongings. The room temperature measured at 75 degree F. The memory care area exits is equipped with delayed egress and working audible alarms. The water temperature measured at 105 to 109 degree F. At the time of the inspection LPA observed 3 resident were quarantined in the memory care unit. LPA inspected the assisted living area with MD and inspected random residents room. LPA observed the apartments were organized and sanitary. The bathrooms are equipped with grab bars and non skid flooring. The rooms are equipped with small kitchen appliances such as microwaves and refrigerators. Storage area for the resident's personal belongings. The water temperature measured at 105 to 109 degree F. The facility is equipped with fire alarm system, water sprinkler, carbon monoxide and smoke alarm. The fire system is connected to the fire department. The facility has fire extinguisher that are strategically located on each floor and a main fire hose outside. LPA reviewed the facility resident administrative file and found the files to be complete and updated. The facility maintains the centrally stored medication logs for the residents would require further review. Disaster training will need to be reviewed at a later date. LPA reviewed the staff file such as but not limited to 1st Aid/CPR training certificates, background, personnel report, health screening and training. LPA verified that the record are complete and up to date. Due to time constraint the annual inspection will be continued at a later date. No citations were issued during today's visit based on California Code of Regulation (CCR) Title 22. An exit interview was conducted with Business Office Director Mary Ann Bangsal and a copy of the report was provided.