Routine inspection·January 22, 2026

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 10:04 a.m., the LPA met with staff and explained the reason for the visit. At 10:07 a.m., Hospital Administrative Resident II (HAR II) Cynthia “Cindy” Gambill met with the LPA. Entrance interview conducted. RECORD REVIEW: Between 10:27 a.m. and 2:36 p.m., the LPA conducted a file review for seven (7) residents and six (6) staff. Resident records were reviewed for, but not limited to: care plans, medical assessments, admissions agreement, consent forms. Resident records were in order. Personnel records were reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and training documentation showing required training completed. Personnel files were in order. Fire drill was last conducted on 12/18/2025. The LPA observed documentation of the Infection Control Plan and Emergency and Disaster Plan. Administrator certificate for Cindy Gambill is current and valid until 04/13/2027. Administrator certificate for Ray Sena is current and valid until 03/31/2027. The LPA obtained a copy of the resident roster and staff roster. During today’s visit, the LPA had a conversation with Cindy Gambill regarding retaining residents with a diagnosis of Dementia. Currently, the facility’s plan of operation does not include a dementia program. The LPA explained to Cindy Gambill that the plan of operation needs to be updated to include a dementia program as two (2) out of fifty (50) residents have a diagnosis of dementia. Cindy Gambill explained that a dementia program will be added to the plan of operation and will be sent to the Department for review. Continued on LIC 809-C. Due to time constraints the LPA will return to complete the annual at a later date. Pursuant to Title 22, CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Failure to correct deficiency may result in civil penalties. Exit interview conducted with Selena Lopez. A copy of the report and appeal rights were provided.