Facility Evaluation Report

On 12/16/25, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the

Required Annual Inspection. LPA were greeted by receptionist, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator (A1) Pamela Bradley. LPA conducted tour of facility with A1 and Health Service Director Sarah Archuleta-Weaver. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit. Residents were observed seating in dining room and in memory care dining room.

The facility was observed to be at a comfortable temperature, clean, in good repair, and there were no passageway obstructions or fire hazards. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguishers were observed throughout the facility with a service date of:10/15/25. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and walk-in pantry. Walk-in refrigerator temperature was maintained at 32 degree F. and walk- in freezer was observed at -1 degree F. First Aid kit observed with required items. LPA toured a sample of resident bedrooms in Assisted Living and Memory Care. Facility has sufficient furnishings inside and outside for resident use. LPA observed pulling cords in resident bedrooms. LPA observed securely fastened grab bars and non-skid mats in shower. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. Washer and dryer were observed operational during visit. The outside was observed to be free from debris with outdoor seating available for residents. LPA observed exits in Memory Care to have a 30-second delay egress. A sample of resident and staff files reviewed.

A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. LPA received copies of Lic 308, Lic 500, Lic 610E, Lic 9020, current liability insurance, and Administrator certificate. A copy of this report and appeal rights was provided to Administrator.