Facility Evaluation Report

Licensing Program Analyst Nadia Shahbazian conducted an unannounced site visit continuation of the required annual inspection, conducted on 10/16/2025. LPA met with Angela Smith - Executive Director/Administrator and explained the purpose of this visit.

The following remaining inspection domains were observed, reviewed and inspected:

Medications: Facility has two Medication Rooms, one on the first floor for Assisted Living Unit, the other on the second floor for the Memory Care Unit. Medications are securely locked in medications cabinets, inaccessible to residents. LPAs reviewed Medication Administration Records (MARs) for six (6) residents and compared them to the medication count and found no discrepancies. Multiple First Aid kits and the First Aid Manual were observed in the Medication Rooms.

Resident records: All records were observed as locked in administrative offices. A total of ten (10) resident files were reviewed, Records included but not limited to: current IPP and/or needs and services plans, physician reports, centrally stored medication logs and admission agreements. Resident records appeared to be complete and current.

Staff records: All staff records are kept locked in the Business Office . A total of eight (8) Staff files were reviewed. Criminal record clearances were present, and Staff are associated to this facility. Staff records appear to be complete and current.

Under California Code of Regulations, Title 22, Division 6, d eficiencies cited during today’s visit. Exit interview conducted and copy of the report with appeal rights provided to the administrator.