Routine inspection·July 23, 2025

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 09:20AM. Upon arrival, LPA was greeted by front desk staff. LPA met with General Manager (GM) John Washko at 09:34AM. Entrance interview conducted. Beginning at 10:13AM, LPA along with GM toured the facility 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: Facility is a two-story building that consists of 2 (two) memory care units named Creekside and Oceanside respectively, and an assisted living (AL) unit. The LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced 06/03/2025 . T he LPA reviewed an annual fire alarm testing and inspection report completed on 04/07/2025 where all smo ke alarms and carbon monoxide detectors were tested and functioned properly. Sprinkler system report dated 04/15/2025 was reviewed and all systems passed. LPA tested 1 (one) delayed egress d oor in the Oceanside unit and was observed to be functional. The LPA observed all required postings in the hallway near the entrance area. BEDROOMS: During today’s visit, the LPAs observed 11 (eleven) resident rooms of which 3 (three) were in the Creekside unit, 3 (three) were in the Oceanside unit, and 5 (five) were in the AL unit. The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Report Continued on LIC 809-C BATHROOMS: The LPA observed 11 (eleven) resident bathrooms which were properly supplied and had functional fixtures at the time of the visit. The LPA observed grab bars by the toilet/shower and slip-resistant surfaces in all bathrooms. LPA was unable to test water temperature during today's visit, as the LPA's equipment was not functioning properly. COMMON AREAS: These included the beauty salon, library, bistro and dining areas in assisted living and memory care units. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. The facility maintained a comfortable temperature throughout the visit. There are multiple fireplaces throughout the community, all of which were observed to be adequately screened. There were no obstructions and/or tripping hazards throughout the facility. GROUNDS/OUTDOORS : The LPA observed appropriate outdoor furniture, with covered shaded areas for residents in both memory care units’ courtyards and the assisted living courtyard. Parking is available for residents and visitors. The LPA observed a water fountain with an appropriate amount of water that does not pose a risk for residents. INFECTION CONTROL/EMERGENCY DISASTER PLAN: LPA reviewed both the facility's infection control plan and Emergency Disaster plan, both of which were observed to be complete and updated annually as required. The community's policies and procedures pertaining to infection control are adequate. Emergency drills are conducted monthly, with the last documented drill on 06/26/2025. RECORD REVIEW: LPA began record review at 12:25PM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. LPA reviewed 5 (five) resident files and 5 (five) staff files. All files reviewed were observed to contain all required documents. MEDICATION REVIEW: At 03:07PM, medication review began. Medications for 2 (two) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit. KITCHEN : At 03:45PM, the LPA, GM and chef toured the kitchen. Kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of 7 (seven) days non-perishable and 2 (two) days perishable food. Food is delivered twice weekly. LPA observed dietary Report Continued on LIC 809-C restrictions and accommodations for residents posted throughout the kitchen. Food is prepared based on the menu. Snacks and beverages are available for residents at the bistro. Emergency food and water supply was observed and was adequate. INTERVIEWS: During today’s visit, the LPA conducted 5 (five) resident interviews and five (5) staff interviews. No concerns voiced during the interviews. During today's visit, LPA reviewed the facility's liability insurance and personnel report. No deficiencies cited. Exit interview conducted. A copy of today's report was provided via email.