Routine inspection·January 11, 2024

Licensing Program Analyst (LPA) Christi Coppo conducted an unannounced Required - 1 Year annual inspection and met with Executive Director, Morgan Holien. There are currently 45 residents living in the Assisted Living (AL) portion of the facility and 113 residents living in the Independent Living (IL) portion of the community. There are no residents with a diagnosis of dementia and one resident receiving hospice care at the time of the visit. Required postings were observed. Facility contact information was reviewed. Fees are current at the time of visit. Beginning at 9:15 AM, LPA and ED toured assisted living portion of the community including 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 117.7 F and 112.8 F, respectively, in faucets used by residents 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. Meals are prepared in the main kitchen and brought to the dining room in the AL portion of the community for residents living there. LPA observed toxins in unlocked cabinet in ancillary Assisted Living Dining room. Per Title 22 regulation 87309 (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients ( deficiency cited, see 809D ). Fire extinguishers were current and charged as of December 4, 2023. Fire alarm system was tested and inspected; documentation of last inspection conducted on 10/17/2023 provided and documentation of sprinklers serviced on 6/19/2023 provided. A disaster drill was conducted on December 1, 2023.At approximately 12:30pm LPA and ED toured resident rooms and LPA interviewed residents. Continued on LIC809C... Continued from 809... Currently, facility does not have a qualified certified Administrator. Per Title 22 regulation 87405(a) Administrator - Qualifications and Duties(a)All facilities shall have a qualified and currently certified administrator ( deficiency cited, see 809D ). CCL has been corresponding with ED about issue of facility not having a qualified certified Administrator. Facility cited for deficiency of regulation 87405(a) on 11/03/2023. On 12/22/2023 LPA emailed ED to advise document submitted to CCL on 12/18/2023 does not specifically address how proposed Administrator will meet regulation 87405 Administrator Qualifications and Duties while working eight [8] in-person hours per week as identified in the submitted LIC500 Personnel Record. Also, CCL has not received requested Board Resolution Statement, designating an Administrator. Both aforementioned items were required to be submitted to CCL as agreed upon per CCL’s case management visit on 12/12/2023. Additionally, on 12/28/2023 CCL LPM emailed ED and requested that they resend the documents they previously sent to AdminCertInfo@dss.ca.gov as they were unable to find a record of ED’s certification (Cert. #6064643740). CCL did not receive a response from ED. On 1/10/2024 LPM emailed ED informing ED that CCL has not received a response to LPM’s request on 12/28/2023. Also, LPM advised ED that as of 1/10/2024 the ED is not on the Pending Administrator list. LPM requested ED provide an update regarding the aforementioned by the end of the day. No response received. LPA will return at a later to complete annual inspection. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Executive Director and a copy of the report was given.