Routine inspection·November 13, 2025

Licensing Program Analysts (LPA)s Valeria Conway and Martha Arroyo arrived at the facility at 9:30 A.M., for an unannounced annual inspection. Upon arrival, LPAs met with Administrator Michael O’Neill and explained the reason for the visit. Entrance interview conducted. Beginning at 10:28 A.M., the LPAs along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: 5-Year fire sprinkler inspection was completed on 09/15/2023, with an annual fire alarm test and inspection record conducted on 06/03/2025. As of today, all deficiencies have been cleared. Fire extinguishers throughout the building were observed to be fully charged and last serviced on 08/20/2025. At 11:54 A.M., carbon monoxide alarm was tested and properly functioned at the time of the visit. ASSISTING LIVING ROOMS: There are 60 Assisted Living units and can be found on the first and second floors of the building. Assisted Living units are equipped with a refrigerator, sink, and microwave and contain private restrooms. A random selection of 4 (four) resident rooms were observed. Residents’ rooms were observed to be furnished appropriately and contained appropriate bedding/linens. Bathrooms were observed to be safe and sanitary with grab bars and slip-resistant flooring. Hot water temperature was measured in four (4) bathrooms. All four (4) bathrooms inspected in the Assisted Living unit measured above the required range of 105 to 120 degrees Fahrenheit. Continued on LIC 809-C Continued from LIC 809 MEMORY CARE ROOMS: Memory Care is located on the first floor and has 18 (eighteen) rooms. Resident bedrooms are single and double occupancy with private bathrooms. A random sample of four (4) resident rooms were observed to be furnished appropriately. Bathrooms were observed to be safe and sanitary with grab bars and slip-resistant flooring. Hot water temperature was measured in four (4) bathrooms. Two (2) out of four (4) bathrooms inspected in the Memory Care unit measured above the required range of 105 to 120 degrees Fahrenheit. Medications for the memory care unit are centrally stored and locked in the medication room. The indoor and outdoor areas of the memory unit are secured with a delayed egress system, which functioned properly during the visit. There are two outdoor gated courtyards designated for Memory Care. COMMON AREAS: The facility is a two-story building. The facility contains multiple common areas, which were all observed to be clean, furnished appropriately and in good condition at the time of the visit. There were no obstructions and/or tripping hazards throughout the facility. All required postings were observed in the common areas on the first floor. The LPAs toured the outside areas of the facility. The Assisted Living and Memory Care unit contained 2 (two) courtyards for resident use. During today’s visit the LPAs observed two operational water fountains, one the promises. One fountain is located in the assisted living area, and the other is situated withing the memory care unit. The LPAs observed appropriate outdoor furniture, with a covered shaded area for resident use. The facility maintained a comfortable temperature of 73 degrees. LPAs observed cameras throughout the common areas only. Facility provides sufficient space to accommodate both indoor and outdoor activities. Several fireplaces were observed throughout the facility adequately screened. The LPAs observed the stairwells and they each had an emergency evacuation chair. Activity Rooms were observed clean at the time of visit. KITCHEN: The main kitchen and dining room are located on the 1st floor. Food is prepared in the main kitchen and delivered to the dining area and the Memory Care dining room. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. LPAs observed a minimum of two (2) days perishable and seven (7) days non-perishable foods. LPAs inspected refrigerator and pantry for expiration dates. LPAs observed a sufficient supply of emergency food and water. Continued on LIC 809-C Continued from LIC 809-C RECORD REVIEW: Between 12:00 P.M and 1:14 P.M., LPAs reviewed six (6) staff files and six (6) resident files. Files were reviewed for, but not limited to: Physician's Reports, Personal Rights, Admission Agreements, staff training records, health screenings, TB tests, and background clearance. All files reviewed were observed to be in compliance with regulation. MEDICATIONS: Medication review began at 2:40 P.M. LPAs observed medications for six (six) residents. All medications observed were stored and recorded in compliance with regulation. LPAs also reviewed the facility's Emergency Disaster Plan, which was observed to be complete and updated annually as required. Emergency Disaster drills are conducted monthly, with the last drill documented on 10/10/2025. During today’s visit LPAs obtained a copy of the facility’s LIC 500, resident roster, last emergency drill and current liability insurance. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.