Pre-licensing visit·September 19, 2025

At 09:15 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted a pre-licensing visit to the above noted facility. The LPA met with applicant representative, Robert Coe. This is a a change of ownership application (CHOW). Facility has capacity for a total of fifty-seven (57) non-ambulatory and fifteen (15) bedridden residents. Fire Clearance was approved on 07/11/25. A dementia program was included in the plan of operation. Applicant representative stated a Hospice Waiver for fifteen (15) has been requested. Component III was completed during the inspection with the applicant. The LPA toured the physical plant areas inside and outside with the administrator. There are four (4) resident buildings in total. Two (2) Assisted Living (Maricopa and Sespe) and two (2) Memory Care (Topa Topa and Matilija). Memory care is set up with delayed egress. The following was noted: KITCHEN: Each building has their own kitchen and dining area. The LPA inspected the kitchen/food service area at all four buildings. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Each kitchen/food service area has a locked knives and sharps drawer and a locked cabinet where the cleaning supplies are stored. Refrigerator and food pantry were checked for proper labels and expiration dates. COMMON AREAS: At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature that ranged from 72*-75* degrees throughout the four buildings. Smoke detector(s) and carbon monoxide detectors tested were operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 07/22/2025. The LPA observed required postings throughout the common spaces. The facility has a pool fully fenced with 2 locked gates for entry. Report continued on LIC 809-C. Memory Care courtyard does have a fountain. Administrator stated residents are supervised when in proximity to the water feature. BEDROOMS: There are a total of sixty-four (64) resident bedrooms with sixteen resident rooms in each building. The LPA observed ten random resident bedrooms, which were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. Lighting in the rooms was adequate. Signal system was tested and operable. Buildings Topa and Matilija are set up with delayed egress for memory care. RESTROOMS: There are sixty-nine (69) resident bathrooms. Resident restrooms appeared clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in eight (8) randomly selected resident bathrooms from all buildings, which ranged between 107.4 degrees Fahrenheit to 125.6 degrees Fahrenheit. The LPA observed Resident bathrooms in resident rooms 301, 308 and 313 with the following hot water temperatures: 122.2 F, 125.6 F, and 120.6 F, all above the required water temperature. MEDICATION: Each building has their own locked medication room. ADMINISTRATOR'S OFFICE : Resident and staff records are be kept in a locked cabinet in the Administrators office and Business office. The following items are needed prior to issuance of license. 1. A 5 day water temperature log indicating water temperature between 105 - 120 degrees Fahrenheit. 2. Fire clearance clarification regarding locked gates in Memory Care courtyard. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating under the new license until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted with facility the Administrator. A copy of report was provided.