Routine inspection·October 16, 2025

At 09:45 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by staff and informed them of the reason for the visit. The LPA met with Executive Director Deedee Heninger shortly after and informed them of the reason for the visit. The LPA and Executive Director DeeDee conducted a tour of the physical plant inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility has 14 buildings on the licensed property. The memory care (Gardens) building has 17 apartments with a capacity of up to 19 residents. The assisted living (AL) buildings have 66 apartments with a capacity of up to 99 residents. The LPA observed fire extinguisher throughout the whole facility which were fully charged and last serviced on 07/02/2025. The LPA observed all required postings. Smoke alarms and carbon monoxide detectors were tested and functioned properly, however, the club house did not have a smoke detector, room 7 did not have a smoke detector in the bedroom, and room 24 did not have a smoke detector in the living room. Kitchen : The main building contains the ED's office, kitchen, dinning room, and lounge area. The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Snacks and beverages are always available for the residents. Emergency food and water was observed on the second floor of the main building. Bedrooms/Bathrooms : The LPA observed eleven (11) randomly selected resident bedrooms in both AL and MC, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Report will continue on LIC809-C, 2nd page. There are 89 total bedrooms ; 76 (seventy-six) are in AL and 13 (thirteen) are in MC. The LPA observed thirteen (13) resident bathrooms which included a communal bathroom in the clubhouse, and a communal shower room in the MC building. All bathrooms were properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. Hot water temperature read at 131.7 (RM6), 129.7(clubhouse), 134.4 (rm7), 113.7 (rm19), 122.2 (rm24), 122.4 (rm26), 118.9 (rm36), 125.9 (rm87), 120.7(rm61), 109.2 (MC shower room), 117 (rm306), 121.1(rm314), and 113.9 (rm308) degrees Fahrenheit in resident bathrooms. At 12:20 p.m. the LPA observed Fluticasone Propionate nasal spray in resident bathroom of room 19, per the resident's Physician's report they cannot store own medications. Upon observation, the ED stated that was an error and resident is able to store medications, and will verify with their Primary physician if it was indicated as a mistake. At 1:07 p.m. the LPA observed the bathroom floor tile in disrepair with broken tile in an unlocked shower room in MC. Common Areas/Surrounding Grounds (Outdoors) : These included the club house, Wellness area, and lounge areas. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. All fire places observed in the common areas and bedrooms were appropriately screened. The facility has a fenced pool with two locked gates. The clubhouse had a theater room, library and small kitchen. The wellness center had exercise machines. The dining room was clean with sufficient amount of seating and was well lit. The beauty salon was kept locked while not in use. The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water on the premises. At 1:36 p.m. the LPA observed the side gate on the Memory Care Unit locked with a combination lock. Record Review: A a review of facility files was initiated. The LPA received a copy of resident and staff rosters and Insurance Liability. I nterviews: The LPA conducted four (4) resident Interviews. No immediate concerns were voiced. Due to time constraints the LPA will return at a later time to complete the annual. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report and appeal rights provided to ED.