This facility is licensed to serve elderly residents, age 60 and above. The facility’s capacity is 185 residents, which is approved to have 100 ambulatory and 85 non-ambulatory residents. The facility campus consisted of memory care building, independence living building and assisted living buildings. The main building is the assisted living and has two (2) floors. The first floor is approved to have 20 non-ambulatory residents, and the second floor is approved to have 32 non-ambulatory residents. The memory care building has two (2) floors which is approved to have 33 non-ambulatory residents and delayed egress. The memory care has eight (8) hospice waivers in place. Today’s inspection consisted of applying CARE tool, conducting physical plant, reviewing staff/resident records, checking food supply/medication, and interviewing staff/residents.

Infection Control:

Facility maintains an infection control plan was on file. Staff were observed practicing safe hand washing. Hand sanitizing was observed throughout. Hygiene supply and sanitizing materials were observed in each bathroom and changing station.

(-continued on LIC 809C-)

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

The facility campus has four (4) separate buildings, including one (1) skilled nursing building, one (1) assisted living building, independence living building and one (1) memory care building. The assisted living buildings have resident rooms, kitchenettes, laundry rooms, activity areas, a gym, a main dining room, a commercial kitchen, and common areas for resident use. The memory care building consists of resident’s rooms, resident activity areas with a big TV, dining room, and a commercial kitchen. Physical plant tour was conducted and observed the facility is in good repair indoor and outdoor. Residents’ rooms are clean and comfortable temperature is maintained. Outdoor space is furnished, shaded, and accessible to clients. A bodily of water is located between the independence living building and assisted living buildings and is secured with a 5 ft fence.

Cleaning supplies and sharps were locked and inaccessible to clients. Passageways and exit areas were observed free of obstructions. Restrooms were observed clean. Water temperature was measured and in compliance. The facility had a system monitoring hot water temperature by testing hot water temperature in random rooms every two weeks. The emergency call system was tested in ten (10) resident rooms. The responding time was from 2 minutes to 7 minutes. Five (5) extinguishers were checked and they were fully charged. Their last service was on 2/25/26. Smoke detectors and carbon monoxide devices were monitored by a company, Absolute Fire Protection, Inc. Last alarm test was conducted on 11/19/25.

Food Service:

The kitchen was clean. The required two (2) days of perishable and seven (7) days of nonperishable were observed and stored separately from toxic/cleaning supply.

Health-Related Services and Disaster Preparedness:

Medications were reviewed. Medications are centralized stored and inaccessible to the residents. Last fire drill was performed on 2/27/26 and it was done quarterly in every shift. Emergency Disaster Plan LIC610E was observed. (-continued on LIC 809C-)

Administrator certificate is current, and the expiration date is 10/10/27. Staff and resident’s records were reviewed and they were in compliance.

Exit:

No deficiencies were noted during this visit per California Code of Regulations, Title 22, Division 6. Exit interview was conducted with Administrator Diana Macias-Medina and LIC 809s were provided.