Pre-licensing visit·December 30, 2025

At approximately 9:40 AM Licensing Program Analyst (LPA) arrived to conduct a change of ownership (CHOW) pre-licensing inspection with residents in care and met with Executive Director Agustin Samaniego. Facility is a one story building currently licensed for 95 non-ambulatory and 5 bedridden residents, along with a hospice waiver capacity of 10 and hospice exceptions granted for 2. The facility currently provides care for 78 residents, 10 of which are receiving hospice services, as well as two (2) bedridden residents. New owners have received a fire clearance for 160 non-ambulatory residents, 30 of which can be bedridden. In addition, the facility has applied for a hospice waiver increase from 10 to 11. Facility will continue to have a delayed egress memory care unit. LPA was given copy of facility building and grounds map with legend including, “Unit Occupancy Potential”. Parking is noted to be in the front and left side of the building. At approximately 10:15 AM LPA continued with a tour of the facility with the Executive Director. Facility has an updated Emergency and Disaster Plan for Residential Care Facilities LIC610E and Infection Control Plan on file that will need to be updated with new phone numbers and emails addresses reflected in the new ownership once new license is issued. Facility currently has a Theft Policy posted that will need to be updated with the new facility name. A “Rights of Resident Councils” poster is prominently placed at the facility accessible to residents, family members, and resident representatives . Emergency Personnel poster is a public/central location, as well as, Personal Rights, Non-Discrimination and Complaint making process posters. Continued on LIC809C Continued from LIC809 There was at least 2 days of perishable and 7 days non-perishable foods as required by Title 22 Regulations with food delivered twice a week. Licensee is advised of the need to have increased food supplies on hand as census expands. Food stored in the kitchen was properly stored as per regulations. Facility currently monitors resident diets with appropriate dietary restrictions posted on kitchen bulletin board with a discreet photograph of each resident that requires a special diet/consistency. Toxins are stored in designated facility storage closets located throughout the facility. Facility has traditionally invited local school children to interact with residents. Residents are visited by families that routinely interact with one another in the dining area, common spaces as well as in resident private apartments. The facility provides an eclectic range of activities specified for both assisted living and memory care engagement. Facility is noted to have large common areas indoors and outdoors, a grand piano, holiday decorations, hair salon, library, as well as, a television/theater experience in the memory care unit. Facility has a transport van with 1st aid kit and a pare key is stored in the business office with other important keys. All exits have functional auditory alarms. Facility has awake staff at night to respond to residents’ individual signal system on neck pendants, as well as pull cords at the heads of beds and along bathroom toilets. Fire Extinguishers found throughout the facility were found to be fully charged and last inspected on 02/2025. Facility has 34 fire extinguishers. Both smoke detectors and sprinkler/alarm systems throughout the facility were interconnected, and inspected by an outside agency with current certification dated 06/10/2025 with no deficiencies cited. Additional carbon monoxide detectors located in both assisted living and memory care sections of the facility were also found to be in working order. Windows, doors, walls, ceilings, screens, paint, and furniture are in good condition. Continued on LIC809C Continued from LIC809C Medications were found centrally stored and secure in both assisted living and memory care as required by regulation and medicine administration was found to be accurately documented. Licensee is asked to submit proof to LPA of updated Infection Control Plan to reflect new facility name, phone numbers and email. In addition, Licensee will need to submit proof of liability insurance, once the new license is issued. Based on today's pre-licensing inspection, I am recommending new license be issued. This report was reviewed with Agustin Samaniego-Executive Director