Facility Evaluation Report

On 07/21/2026 Licensing Program Analysts (LPAs) Villegas and Brown conducted an annual required unannounced visit using the CARE Inspection Tool. LPA met with Jennifer Rivas as the purpose of the visit was explained. The facility is licensed to serve 178 ages residents ages 60 and over, 108 ambulatory and 70 non- ambulatory. The 1st floor is approved for delayed egress dementia only, the 2nd floor is approved for ambulatory only. There is an approved hospice waiver for 10 residents. Facility fees are current, surety bond active (Western surety agency 72644951), Liability insurance is active (00168885-0 Exp: 04/01/27).

The facility is a Two story building that consist of the following: The facility has 92 resident bedrooms, 94 bathrooms, 2 atriums, 1 lounge, 3 offices, 1 doctors office, 1 conference room, 1 activity room, 1 industrial kitchen, 2 dining rooms, 1 library, 1 business office, 1 TV room, 1 staff break room, 1 facility laundry room, 1 resident laundry room, 3 emergency stairwells, 1 stairway, 2 lobbies, and 1 elevator. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions.

LPAs conducted a records review of 10 staff records, 10 client records, 10 medication administration records, and 10 P&I ledgers. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 06/14/26, 17 fire extinguishers fully charged are located throughout the facility, carbon monoxide and smoke detectors are interconnected and operational. Bay Alarm Company South Bay conducted annual fire alarm and emergency communication system inspection and testing on 11/12/25. 10 resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, non-slip mats and handrails observed, and there are