Routine inspection·September 17, 2025

Licensing Program Analysts (LPA) Angela Barutyan at the facility unannounced to conduct a required annual visit at 11:10AM. LPA met with staff and Executive Director (ED) Zachary “Zak” Howell. Entrance interview conducted. Beginning at 11:27AM, the LPA, along with the ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: LPA observed fire extinguishers on every floor which were last serviced on 09/12/2024 and not within the last 12 months. ED scheduled the annual fire extinguisher servicing for the current year during the visit. Fire alarm devices are tested annually by Academy Fire Life Safety and were last tested 08/06/2025. Delayed egress door in the memory care unit was tested at 11:39AM and was functional at the time of the visit. COMMON SPACES/AMENITIES: Common areas include the dining area, theater, gym, salon, physical therapy room, the Bistro, game room, arts and crafts room, a small outdoor courtyard, and a Wellness Center. Several common living spaces were observed throughout the facility. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in the hallways. The emergency telephone numbers are posted in the entryway. Other required postings are posted on the first floor near the elevator. LPA observed the Ombudsman Poster and DSS Complaint Poster throughout the community. LPA observed pull cords available in the residents’ rooms and observed residents to be wearing signal pendants. Continued on LIC 809-C. BEDROOMS: LPA observed a random selection of seven (7) bedrooms at the facility of which two (2) were on the first floor, three (3) were on the second floor, and two (2) were in the memory care unit. All bedrooms were furnished appropriately with clean linens, furnishings, and sufficient lighting. Rooms in the memory care unit are single occupancy and have no appliances. The assisted living resident rooms are equipped with a refrigerator, microwave, stove top, sink, and in-unit washer and dryer. RESTROOMS: LPA observed resident restrooms to be clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in resident restrooms and were between 106.2-112.8 degrees F, which is within the required range. At 11:44AM, LPA pulled the signal cord in resident restroom and staff arrived promptly in response at 11:51AM. KITCHEN: At 11:30AM, LPA toured the main kitchen on the ground level. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food as well as an emergency food and water supply. At 11:41AM, LPA observed the kitchen in the memory care unit which is kept locked and inaccessible and contained snacks and drinks; food is not prepared in the kitchen. MEDICATION REVIEW: At 01:12PM, LPA reviewed medications for two (2) residents in the assisted living unit and at 02:02PM, LPA reviewed medications for one (1) resident in the memory care unit. All medications reviewed were stored and documented per regulation. RECORD REVIEW: Beginning at 02:40PM, LPA reviewed five (5) resident and five (5) staff files for documents including but not limited to: Admission Agreement, TB test, health screening, fingerprint clearance, and staff training. All resident and staff files reviewed were complete. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted quarterly as is required, with the last drill conducted on 09/08/2025. Pursuant to Title 22, CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Civil penalties were issued in the amount of $500. Administrator was informed that failure to correct deficiency may result in additional civil penalties. Exit interview conducted, report issued, and appeal rights provided.