Routine inspection·January 29, 2026

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Rafael "Omar" Mendoza: Administrator Certificate 7027912740 expires 6/19/26. At approximately 10:00am LPA toured Assisted Living rooms. LPA observed pull cords and grab bars present in resident bathrooms. Facility has Independent Living (IL) and Assisted Living (AL) residents. Facility does not offer Memory Care. LPA and Admin toured selected AL resident rooms: #108, #111, #115, #202, and #205. Administrator then joined LPA and toured the rest of the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Freezer and refrigerator temperature logs present. All temperatures observed are in compliance with regulation. LPA observed hot water sign present in dish washing area. Kitchen utilizes hot bar bain marie, all foods properly stored and covered within the bain marie. Pantry item bins all properly sealed and labeled. Water temperature in sink accessible to residents in care measured at 118.6 degrees F in room #108, 116.3 degrees F in room #111, 117.7 degrees F in room #115, 115.7 degrees F in room #202, and 117 degrees F in room #205 degrees F which are all within the allowable range of 105 to 120 degrees F. LPA measured water temperature in movie room, hot water was turned off. Administrator immediately called maintenance to address the issue of it being turned off. Continued on 809C... Continued from 809... Fire extinguishers were last inspected 1/9/25, but showing as fully charged. Per Administrator, vendor servicing fire extinguishers is set for next week. However, he requested for them to come out earlier next year in order to avoid being slightly over on the annual servicing. Smoke/Carbon Monoxide detectors located throughout the facility are hardwired, last serviced by vendor on 2/13/25. Sprinklers throughout facility are serviced by vendor, last date of service 6/13/25. Facility’s last quarterly disaster drill was conducted October 2025. LPA discussed with Administrator making sure disaster drills are conducted quarterly. Facility equipped with elevators, all elevator permits are active expiring 7/31/26. At approximately 12:30pm LPA conducted a review of eight [8] resident records. All documentation present. No deficiencies. At approximately 2:30pm LPA conducted review of seven [7} staff records. All documentation present. No deficiencies. At approximately 3:30pm LPA and Health and Wellness Director (HWD) conducted a spot check of medication and medication records. Medication is centrally stored in a locked room. LPA and HWD observed two medication errors for resident (R1). Start date for Levothyroxine 1/1/26, R1 is to receive one [1] tab per day; however only one [1] tablet remaining in 31 tab bubble pack, so bubble pack missing one dose. Start date for Florastor 1/16/26, R1 is to receive 2 capsules per day; however 5 capsules remain in 31 capsule bubble pack, so there is one [1] capsule too many ( deficiency cited, see 809D ). LPA and Administrator reviewed facility's Infection Control Plan and Emergency Disaster plan. Administrator provided LPA with updated copy. 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.