Pre-licensing visit·September 30, 2025

09/30/2025 at 11:30 AM Licensing Program Analysts (LPA) Sarah Benson arrived at the facility to conduct the scheduled pre-licensing inspection. LPA met with administrator Cinde Conley Pacheco and explained the purpose of the visit. Comp 3 was presented by LPA’s to licensee during the visit. Comp 3 presentation was completed. The fire marshal has approved the fire safety inspection request. The facility is licensed for 84 non-ambulatory residents and 15 bed ridden residents for a total capacity of 99. The facility has a memory care unit that has seven (7) bedrooms and number (7) bathrooms. The facility also has an assisted living section that has fifty-eight (58) bedrooms and fifty-eight (58) bathrooms. The LPA observed dining area with water damage, dry wall in the ceiling was removed in an area of twenty feet by twenty feet and covered with plastic sheeting taped over opening. LPA observed a seating area with seating for fifty people in the common area. The hot water meets the requirement for licensing within a range of 105 - 120 degrees F. Food storage meets Title 22 regulation requirements. Plates, utensils, pots, and pans were in place during the inspection. Dishwasher, stove, microwave and refrigerator were all present and working. Bedrooms were observed to have furniture as required by Title 22 Regulations. All beds were made up with linens and bedspreads. Each bedroom has ample storage. The facility has a linen closet which contains sheets, pillowcases, towels and face cloths. Bathrooms were observed to be in good repair. The facility has a locked medication cart which is located in the locked medication room. Storage and lighting are adequate in the facility. Cleaning supplies and toxins are locked in janitorial rooms. Knives are locked up in the kitchen. Washers and dryers observed in place and ready for use. The facility has 21 Fire Extinguishers fully charged fire extinguishers which were inspected by the fire marshal. LPA observed smoke alarms and carbon monoxide detectors fully functioning. There is a locked office space where client and staff files are stored. The yard has a nice, shaded structure with outdoor furniture for residents to use. The applicants will complete the POC for deficiencies and repair the dinning room water damage to complete pre-licensing. When completed the LPA will contact the Central Application Bureau. The following deficiencies are being cited on the attached LIC809-D in accordance with California Code of Regulations, (Title 22). Exit interview completed and a copy with appeal rights given to the administrator.