Routine inspection·March 25, 2025

Licensing Program Analyst (LPA) Quoc Huynh, Kelly Dulek, and Emily Peraldi arrived unannounced at 9:58AM for a required one year visit. The LPAs met with Administrator Robloe Babasanta and explained the reason for the visit. Entrance interview conducted. At 11:00AM, the LPAs 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: COMMON AREAS: The facility is a two-story building. On the first floor, there are the kitchen facilities, dining room, Bistro, laundry rooms, Wellness Center, fitness center, office spaces, and common restrooms. On the second floor, there is a beauty salon, spa, Wellness Center, second floor dining, a private dining room, several activity spaces, office spaces and common restrooms. The LPAs observed common areas to be clean and in good condition. There were no obstructions and/or tripping hazards throughout the facility. There were cameras in the common areas, outdoor courtyard, and exterior perimeter. Required postings were found in the hallway on the first floor. There are fire extinguishers throughout the facility, which were serviced 07/15/2024. Fire alarm system is tested annually with the last inspection on 06/10/2024 by Smart Systems Technologies Incorporated. Report Continued on LIC 809-C There are three outdoor gated courtyards; two are on the first floor and one is on the 2 nd floor. The LPAs observed outdoor furniture, with a covered shaded area for residents. There were no bodies of water observed during today’s visit. KITCHEN: The main kitchen is located on the 1st floor. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. Facility uses Sysco Foods for food deliveries, and food delivery takes place twice a week. There was a sufficient supply of perishable and non-perishable food. Food appeared to be of good quality RESIDENT ROOMS: The LPAs observed randomly selected rooms on the first and second floor and no immediate health or safety hazards was observed. Restrooms were clean, with properly installed grab-bars in resident bathrooms and non-skid strips in shower tubs. Appropriate furniture was also observed in the units. Water temperature was tested throughout the units and measured between 114.2 degrees F and 115.2 degrees F, which is within the required range per regulation. RECORDS: Resident records were reviewed at 1:45PM. The LPAs reviewed five files for, but not limited to: admissions agreements, medical assessment, updated appraisals. Resident records reviewed were in order at this time. Personnel records were reviewed at 2:15PM. The LPAs reviewed personnel records, but not limited to: job application, health assessments, TB results, criminal record statements and clearances, first aid/CPR certification. Staff files reviewed were in compliance with regulation at this time. Report Continued on LIC 809-C MEDICATION: Medications review began at 3:15PM. The LPAs reviewed medications for four residents. Medications are maintained locked inaccessible to residents in the Wellness Centers located on the first and second floor. Four out of four resident medications reviewed were documented and stored in compliance with regulation at this time. INFECTION CONTROL/EMERGENCY DISASTER: LPAs reviewed the facility's infection control plan and Emergency Disaster plan. LPAs noted that the facility is in compliance with regulation. Facility conducts emergency disaster drills as required with drills conducted monthly. Four residents and five staff were interviewed. No complaints noted. No deficiency cited. Exit interview conducted. A copy of the report was provided.