Routine inspection·October 31, 2025

Licensing Program Analyst (LPA) Coppo conducted an unannounced annual inspection and met with Administrator Robert Rubio. Robert Rubio Administrator Certificate 7021430740 expires 1/21/26. There are currently 14 residents living in the Assisted Living (AL) portion of the facility and 67 residents living in the Independent Living (IL) portion of the community. Five (5) residents were receiving hospice care at the time of the visit. Required postings were observed. At approximately 10:30am LPA toured assisted living portion of the community including the resident rooms/apartments, activity rooms, grounds and kitchen (located in the assisted living). All interior parts of the facility were found to be a comfortable temperature. Exits and pathways were free from obstructions. Hot water temperature measured 118.7 degrees F which is within regulation of 105 to 120 degrees F. LPA observed at least a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food quantity and quality stored in a safe manner for residents in care and staff as well as an emergency food supply. Bathrooms contained necessary grab bars and non-skid strips. Meals are prepared in the main kitchen and brought to the dining room in the AL portion of the community for residents living there. Fire extinguishers were current and charged as of 4/10/25. Fire alarm system was tested and inspected by vendor August of 2025. Latest disaster drill was conducted on 9/23/25. At approximately 12:00pm LPA conducted a review of seven (7) resident records. Files complete. Continued on 809C... Continued from 809... At approximately 1:30pm LPA conducted review of seven (7) staff records. Files complete. At approximately 2:30pm LPA conducted a spot check of medication and medication records. Medication is centrally stored in a locked room. R2 had a bubble pack of Quetiapine FUM 50mg not listed on Centrally Stored Medication Log (CSML) ( deficiency cited, see 809D ). LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. In addition to Annual inspection, LPA discussed with Admin Incident Report received on 10/15/25 indicating resident (R1) had eloped from the facility. Incident report indicated that on 10/10/25 resident (R1) eloped from the facility. R1’s physician report indicates that they are not allowed to leave the facility unassisted. Facility notified R1’s family. R1 had location device on their person as placed by their family. R1 was found at the adjacent local grocery store shopping for food. R1 was safely escorted back to the facility by staff. Facility held a care conference with R1’s family and facility staff. The local ombudsman was also notified and held a meeting with R1’s family. Facility has put Wanderguard in place to help address elopement and R1 has received their Wanderguard bracelet as of today. A follow-up care conference was held with R1’s family the week of 10/20/25 ( deficiency cited, see 809D ). Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given