Non-compliance follow-up·October 7, 2025

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced cased management – legal/non-compliance visit. The purpose of today’s visit was to ensure the facility is maintaining substantial compliance. Upon arrival, the LPA met with Interim Executive Director (IED), Melon Rivera and the reason for the visit was explained. During today’s visit, the LPA along with the IED 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. Starting at 11:19 a.m., nine (9) randomly selected resident bedrooms were observed. The LPA inspected five (5) bedrooms in Assisted Living and four (4) bedrooms in Memory Care. All bedrooms were observed to be properly furnished and had sufficient lighting. Hot water temperatures in Assisted Living bathrooms measured between 105.2 and 113.1 degrees Fahrenheit. In Memory Care bathrooms, hot water temperatures measured between 107.2 and 109.7 degrees Fahrenheit at the time of the visit. Memory Care bathrooms were also observed to have locked cabinets for residents’ personal hygiene items. Report Continued on LIC 809C... Report Continued from LIC 809... At the time of the visit, common area furniture was observed to be in good condition. The facility maintained a comfortable temperature. Several fire extinguishers were observed throughout the facility, all fully charged and with a service date of 01/07/2025. The facility’s alarm signal system was tested on 01/15/2025 with no discrepancies noted. Required postings were observed throughout the common areas. Residents were observed participating in activities during the visit. The facility includes a courtyard which was observed to have adequate patio furniture for resident use. All interior and exterior passageways were observed to be free of obstructions. The kitchen and food service area were inspected at approximately 12:05 p.m. Emergency food supplies were observed for appropriate labels and expiration dates. Several boxes of cereal were noted to be past their "best before" dates. However, the facility still has a sufficient supply of both perishable and non-perishable foods. Staff reported that an order of non-perishable food items is scheduled for delivery later this week. Exit interview conducted. Report was reviewed and copy was issued.