Routine inspection·April 24, 2025

Licensing Program Analyst (LPA) Kelly Dulek arrived unannounced to conduct a required annual visit. The LPA met with Executive Director (ED) Remon Pagels and reason for the visit was explained. Beginning at 10:45AM, the LPA and Maintenance Director Hector Arjon toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations. The following was observed: Common Areas: The facility is a three-story building. Facility elevators were operating properly. There are three stairwells that all have emergency evacuation chairs on the third floor. There are resident rooms on all three floors, units are designated for assisted living residents on all three floors and a separate unit on the second floor is designated for residents in the memory care unit. There were no obstructions and/or tripping hazards observed. The facility maintained a comfortable temperature throughout the visit. The fire extinguishers were charged and last serviced 01/06/2025. Various rooms' smoke detectors and common area carbon monoxide detectors were tested during today's visit; all tested were functional. The facility uses Johnson Controls to inspect their fire suppression system with the last annual inspection completed 06/06/2024; 5-year inspection was completed on 10/11/2021. A fire and life safety inspection was conducted by Ventura County Fire Department on 07/23/2024 and no violations were noted. Required postings were observed on the first floor. Activities: Planned activities are offered, and the activity schedule was posted, and is provided to the residents on a weekly basis. Activity rooms and common spaces appeared clean and in good repair. There is a movie theater, hair salon and exercise/therapy room for residents use. Report Continued on LIC 809-C Kitchen: At the time of the visit, there was a sufficient supply of perishable and nonperishable food. The facility also has an emergency supply of food and water. The menu was posted and copies are available for residents. The menu is reviewed regularly by a dietician with the last review 10/03/2024. The facility offers daily specials and a standard selection at every meal. Appliances appeared to be in operable condition. Resident Rooms: The LPA toured 12 (twelve) randomly selected resident rooms (both the memory care and assisted living unit). Rooms appeared well kept, with sufficient lighting and appropriately furnished. Restrooms: Resident restrooms observed to be fully stocked with supplies; grab bars and slip resistant surfaces. The water temperature was tested on all floors in various resident rooms and water temperature ranged from 107.7 to 115.2 degrees Fahrenheit. Outside Areas: The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There was an enclosed patio for residents whom reside in the memory care unit on the second floor. Delayed egress doors checked and were operable at the time of visit. Interviews: LPA interviewed 6 (six) residents and 3 (three) staff during the visit. No concerns were noted. Record Review: Record review began at 01:13PM. The LPA reviewed 5 (five) resident files for, but not limited to: admissions agreements, medical assessment, updated appraisals. Resident records reviewed were in order at this time. The LPA reviewed 5 (five) staff files for items including but not limited to: health assessments, TB results, criminal record statements and clearances, first aid/CPR certification. Staff files reviewed were in compliance with regulation at this time. Medication: Medications review began at 02:50PM in Assisted Living and 03:45PM in Memory Care. The LPA reviewed medications for 2 (two) residents. Medications are maintained locked inaccessible to residents in medication carts in the Medication Room. Resident medications reviewed were documented and stored in compliance with regulation at this time. Infection Control/Emergency Disaster Plan: LPA reviewed the facility's infection control plan and Emergency Disaster plan. Both documents were observed to be completed and updated annually as required. Facility conducts emergency disaster drills as required with the last documented drill 03/01/2025. No deficiencies cited at this time. Exit interview conducted. Copy of today's report was provided.