Routine inspection·April 14, 2025

Licensing Program Analyst (LPA), Alviso, conducted a Required- 1 Year inspection, on 04/14/25 at approximately 12:45pm, and met with Administrator Assistant Don Rodreick. The facility is a licensed continuing care retirement community, which consists of residential assisted living residents that are provided care services, and residents that are currently independent, no provided assisted living care needs, at this time. If independent residents need care services at any time, these services may be added per the admission agreement, and the facility's plan of operation. The fire clearance is approved for Villetta building(1st & 2nd FL)-132 non-ambulatory, includes 8 bedridden, third floor of Villeta building 72 ambulatory only, Casitas #1 through #27, 54 non-ambulatory, and North & South buildings, 64 non-ambulatory. LPAs checked random fire extinguishers, and they were marked and having been serviced and tagged as required. Hospice waiver granted for five (5) residents.The facility does not have a dementia plan of operation. The facility does have a required "Infection Control Plan." The facility does have an "Emergency Disaster Plan" as required. This plan is kept up in a cabinet behind the concierge desk. There is a concierge staff to the right as you enter the facility. LPAs observed the emergency lock box with master keys to all rooms, and facility vehicles, accessible to staff as needed in an emergency. The North building and South building, both each have a lock box with master keys for staff use as needed in an emergency. Emergency supplies are stored in both the main building, North building, and South building for use in an emergency. All first aid kits had required first aid guide/booklet. Continued on LIC809C... LPAs toured the facility with Norma Rudolph, Housekeeping Supervisor, Bonafacio Carmona Maintenance Director, and Gustavo Manriquez. All exits in the main building, North building, and South building were observed by the LPA to be clear of obstruction. The main building has five (5) stairwells, and all had the required evacuation chairs. The North building has two (2) stairwells, and the South building has two (2) stairwells, all four (4) stairwells had required evacuation chairs, and instructions posted up. All three garage generators were checked and were working properly during the inspection. The facility had food, water, and supplies to meet the "72 hour shelter in place" requirements. Food supply was sufficient. Cleaners/disinfectants were locked and inaccessible as required. Hot water was measured at 110.3 degrees, and 117.5 degrees Fahrenheit in the main building. Hot water in the North building was measured at 116.6 degrees Fahrenheit LPA is requesting the following documents be updated and submitted by 5/14/25. LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report -ensure all staff are listed/titles/days & hours working LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required) Infection Control Plan (ensure to review and update as needed/required) Copy of LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash) Form must be completed by all licensees. Copy of current Administrator Certificate Copy of current Liability Insurance. The LPA will continue the annual inspection at a later date. No deficiencies cited today. Exit interview conducted with Administrator Assistant, Don Rodreick.