Routine inspection·July 28, 2025

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with General Manager (GM) Candace Bolin. LPA stated the purpose of the visit. LPA toured the interior and exterior of the facility with GM to include but not limited to the kitchen, resident rooms, dining room, and kitchen. 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 the refrigerator temperature at 38 degrees F and Freezer at -15 degrees F. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. The smoke detectors were last serviced and inspected on 3/25/2025. Fire extinguishers were last serviced on 9/13/2025. 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 on 6/28/2025, drills are being conducted monthly. LPA toured 10 resident rooms with GM. All 10 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. Page 1 of 2 LPA toured 10 resident bathrooms. All 10 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature in 10 resident bathrooms with a range from 105 degrees F to 118 degrees F. LPA toured the memory care with GM. LPA observed all exit and delayed egress doors in memory care alarmed, and functioned properly when tested by GM. LPA reviewed 5 resident records. Resident records included emergency contact information, physician’s report, needs and service plans, and personal rights. LPA reviewed 3 Resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPA observed 1 medication for R2 was not written down on the centrally stored log. A Technical Assistance was issued, see LIC9120 for more information. LPA reviewed 5 staff records. Staff records included fingerprint background clearance, medical assessment with TB result, personnel record, and staff training. No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with GM Candace Bolin and a signed copy of this report was provided. Page 2 of 2