Routine inspection·January 15, 2026

Licensing Program Analyst (LPA), Cuadra arrived unannounced to conduct a Required -1 Year visit, and met with Administrator Karina Tapia. Facility has an approved dementia care plan. There are 77 residents in Assisted Living and 22 residents in Memory Care for a total of 99 residents in care. There are residents receiving hospice care services within the approved hospice waiver. Required postings were observed. LPA/Administrator toured the facility which included an inspection of assisted living and memory care, all common areas, hallways, and bathrooms observed had sufficient lighting. Residents rooms are furnished per regulation. The memory care unit is on a delayed egress system and a locked perimeter courtyard for resident use, which it was approved in their fire clearance. There are evacuation chairs located at each stairwell. The elevators were last inspected on 7/16/25 and permit expires on 7/16/26. The facility was a comfortable temperature. Passageways were free of obstructions. Facility has a sufficient supply of cleaners, hygiene items and paper products. Multiple first aid kits were observed. A call button is located in each bathroom, LPA tested the call system in resident's rooms and staff response time was under three minutes. A tour and inspection of the kitchens and dining areas were found to be clean and sanitary. The kitchen was observed to have a sufficient supply of perishable and non-perishable food. Refrigerators and freezers were at required temperatures. Prepared and left over foods were covered and labeled. Menu includes a wide variety of foods from all of the food groups. A board in the kitchen has written instructions for residents with food allergies and restricted diets. The facility has emergency supplies, including food and water to meet requirements of the 72-hour shelter in place. The facility has a generator in case of power outages. At approximate 9:28am and 9:43am, LPA/Administrator observed one maintenance shop and two laundry rooms located in assisted living unit were unlocked. Other cleaning products that were observed on the floor were supervised and/or locked carts. Continued on LIC 809-C... Continued from LIC809... Residents were observed participating in group activities in common areas. There are activities written on a board specified for both assisted living and memory care engagement. The last fire drill was conducted December 2025. The fire alarm and sprinkler system was last inspected October 2025. Fire extinguishers were observed to be last charged on 10/2025. Facility's smoke and carbon monoxide detectors and sprinkler system were last inspected October 2025. Water temperatures measured at between 115.7 and 118.6 degrees (F) which is within acceptable range of 105 to 120 degrees F. Bathrooms have non-skid surfaces and grab bars at the toilet and shower areas. All medications were all locked and inaccessible to residents in care. - At 10:20 AM, LPA conducted a file review of ten staff and ten residents. LPA observed three out of ten staff individuals (I1, I2 & I3) were fingerprint cleared, but their fingerprints have not been transferred and associated to the facility. LPA informed Administrator that staff (I1, I2 & I3) are not associated to facility and should never be working and providing care to residents prior to a criminal record clearance transfer. Civil penalties are being assessed in the amount of $100 per person for a total amount of $300 for allowing a person to work, reside or volunteer in the facility without a fingerprint clearance transfer and association. One out of ten staff (S1) do not have a health screening form on file including their TB test (technical violation issued). Five out of ten staff (S3, S4, S5, S7 & S9) do not have current 1st aid or CPR certificates updated, but there is at least one staff on shift that has a valid CPR/1st aid certificate (technical violation issued). Six out of ten staff (S1, S2, S4, S6, S7 & S8) have not completed all required training hours. According to Administrator, effective on 6/30/25 there was a change of management that resulted in a different vendor for staff training and previous management kept training records (technical violation issued). Residents receiving hospice services had a care plan that appears to be accurate to services being provided. All residents' care plans seems to have a person-centered approach and they are updated. Medical assessments are current and included a description of any known behavioral expression. Karina Tapia, administrator certificate 7029240740 expires on 11/20/2026. Medications and medication records were reviewed. Annual fees are not current, but LPA was informed by the operations administration director that they have the invoice on hand and the financial department is working on submitting a payment timely. Administrator agrees to submit updated documents by 2/6/26: LIC500Personnel Report & Liability Insurance. Deficiencies are cited from the California Code of Regulations (CCRs), Title 22, and the Health and Safety Code. Civil penalties in the amount of $300.00 is being assessed due to staff not being associated to facility. Appeal Rights Given. Exit interview conducted with Administrator and copy of this report was given.