The facility is licensed to serve 140 non-ambulatory residents, of which eight (8) may be bedridden, and has a hospice waiver for 15 residents. At the time of the visit, the facility had a census of 108 residents, of which 11 were receiving hospice services.

LPA Tea reviewed eleven (11) resident files and five (5) staff files. The resident and staff files reviewed contained the required documentation. ED Arrellano's Administrator Certificate is valid through July 7, 2027.

LPA Tea, accompanied by ED Arrellano and BOM Jimenez, toured the physical plant, including resident living areas, common areas, food service areas, and outdoor spaces.

The facility is a two-story building with a memory care wing, known as "Clare Bridge," located on the first floor. The facility has a centrally located courtyard with shaded patio seating, as well as a separate Rose Garden courtyard available for residents. The memory care unit has its own secured private courtyard with ample seating. LPA tested the delayed-egress system around the memory care courtyard and found it to be operational.

The facility's fire alarm system is monitored and maintained by a third-party company. Fire extinguishers throughout the facility were observed to be fully charged. LPA also observed evacuation chairs located in each stairwell for emergency use. The facility's most recent disaster drill was conducted on August 13, 2026.

(Inspection Report continued on LIC809C)

• 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.

Resident bedrooms were observed to have the required furniture, bed linens, and adequate closet and drawer space to comfortably accommodate each resident. Resident bathrooms were inspected and observed to be clean and in good repair. Toilets and faucets were operational, grab bars were secure, and showers were free of visible mold and mildew. Hot water temperatures measured between 115.2 and 119.8 degrees Fahrenheit.

LPA activated an emergency call pendant located in a resident bathroom, and staff responded in less than two (2) minutes. LPA also tested a resident push-button pendant, and staff responded in less than two (2) minutes.

Common areas were observed to be clean and free of hazards, and doorways and passageways were free of obstructions.

LPA inspected the kitchen and dining areas. The facility had an adequate supply of perishable and non-perishable food available at the time of the visit. Emergency drinking water was observed stored in the kitchen, and the facility's emergency food supply was stored in a nearby large storage closet adjacent to the kitchen.

LPA Tea reviewed the facility's medication storage and administration practices. Medications are stored in locked medication carts in designated areas of the facility, including the memory care unit and the assisted living medication room. During the medication review, LPA observed that some PRN medications were listed on residents' medication records but did not have corresponding physician orders available for review. The facility was advised to ensure that current physician orders are obtained and maintained for all PRN medications, as applicable. Aside from the noted PRN medication order discrepancies, medications reviewed were being administered in accordance with physicians' orders.

LPA also inspected the first aid kit located in the medication room. The first aid kit contained most of the required supplies; however, tweezers were not available at the time of the inspection. LPA advised facility that tweezers are required to ensure the first aid kit is complete.

(Inspection Report continued on LIC809C)

Based on observations, interviews, and record reviews conducted during today's visit, no deficiencies were cited in the areas inspected pursuant to Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted with the facility. Copies of this LIC809, LIC809C, LIC858, LIC859, LIC9102TV were provided to the facility.