Routine inspection (multi-day)·March 12, 2025

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 01/28/2025. At 10:55 a.m., the LPA met with the Executive Director (ED) Ken Mahler and explained the reason for the visit. At 12:07 p.m., the LPA along with the ED conducted a physical plant tour to ensure there are no health and safety hazards. During the physical plant tour, the LPA conducted interviews with twelve (12) residents and no concerns were voiced. The facility consists of one (1) memory care unit (MC), and an assisted living unit (AL). The memory care unit is secured with delayed egress doors which lead to secured outdoor patios. The second floor has no resident apartments but was observed to have a gymnasium for resident use, facility storage, and office space. Starting at 1:15 p.m., the LPA conducted a review of medication and medication documentation with staff for eight (8) residents and observed that medications were properly documented and assisted with as prescribed. BEDROOMS: The LPA observed 22 randomly selected resident rooms throughout facility. Rooms were furnished with clean linens, appropriate furniture and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: The LPA observed restrooms in 22 resident units and common area restrooms. All restrooms were fully stocked with supplies. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. Water temperature was tested throughout the visit and measured within the required range. Continued on LIC 809-C. COMMON AREAS: The LPA observed common areas to be relatively clean and properly furnished. The LPA observed the fire extinguishers throughout the facility to be fully charged and last serviced on 04/12/2024. The LPA observed required postings on the wall near the entrance and hallways. The facility's smoke alarms are hard wired, and the facility is equipped with sprinkler system. Fire alarm/sprinkler system was last tested on 01/23/2024 with Oxnard Fire Department. At 1:07 p.m., the LPA observed residents watching a movie in the theater room. OUTDOOR SPACE: The LPA observed the courtyards throughout the facility, which has a covered outdoor area for resident use. There are multiple emergency exits located throughout the facility. Passageways were free and clear from obstruction. There were no bodies of water noted. OTHER: Medications and first aid kits are located in locked medication rooms. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the maintenance closet. The laundry units are located inside the locked laundry rooms. The LPA observed sufficient supply of Personal Protection Equipment (PPE). KITCHEN: At 2:45 p.m., the LPA observed the kitchen and dining area. Knives are stored in the kitchen which remains inaccessible to residents. Kitchen appliances are in operable condition. The facility has a sufficient supply of two-day perishable and seven-day nonperishable food. The menu was posted throughout the dining area. Snacks and beverages are available for residents. No deficiencies cited at this time. Exit interview conducted. A copy of the report of provided.