Routine inspection·February 12, 2026

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Wendy Cornejo. Administrator certificate 7005339740 expires 7/22/26. LPA and Administrator reviewed staff roster and Guardian roster. All staff associated. At approximately 10:00am LPA, Med Tech and Admin conducted a spot check of medication and medication records. Medication is centrally stored in locked medication carts. No deficiencies cited. At approximately 11:30am LPA and Administrator toured selected rooms in Memory Care (MC) and Assisted Living (AL). Both MC and AL portions of the facility were found to be clean and at a comfortable temperature. LPA observed pull cords and grab bars present in all MC and AL rooms. All bedrooms were clean and in good repair. Water temperatures in Memory Care (MC) measured at 112.5 degrees F in kitchen, 107.1 degrees F in MC room #4 and 105.6 degrees F in MC room #17. Water temperatures in Assisted Living measured at 105.5 degrees F in room #101, 109.6 degrees F in room #111, 109.4 degrees F in room #203, and 107.8 degrees F in room #240 all of which are within the allowable range of 105 to 120 degrees F. LPA and Admin utilized both sets of stairs within facility. LPA observed evacuation chairs present in both stairwells. LPA and Admin toured courtyard area. No obstructions or tripping hazards observed. At approximately 12:45pm LPA conducted a review of seven (7) resident records. No deficiencies cited. At approximately 2:00pm LPA conducted review of seven (7) staff records. No deficiencies cited. Continued on 809C... Continued from 809... At approximately 3:30pm LPA and Admin toured the main kitchen. The kitchen 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. LPA reviewed temperature logs of refrigerator and freezer, all temperatures were within regulation and current. Kitchen water temperature measured at 133.7 degrees F, hot water sign present above one sink. Facility will add caution signs above all other kitchen sinks. First aid kit present. Fire extinguishers were last inspected 12/17/25. Smoke/Carbon Monoxide detectors and sprinklers located throughout the facility are hardwired and serviced by Johnson Controls Fire Protection, last date of quarterly service 12/3/25, all systems passed. Facility is due for five [5] year annual as of 12/8/25; facility produced documentation of communication with vendor indicating appointment for service. Fire alarm serviced by same vendor, last date of service 12/3/25. Report shows one alarm failed; alarm was immediately replaced and is now working. Facility’s last quarterly disaster drill was conducted on 1/14/26. Facility has a backup generator for use during a power outage. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Administrator will send LIC610E for CCL facility file. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Liability Insurance No deficiencies cited. Exit interview conducted with Administrator and a copy of this report was given.