Facility Evaluation Report, 01/10/2022 — Palms Retirement Center, Fullerton CA

Licensing Program Analysts (LPA's) Jenifer Tirre and Kimberly Lyman made an announced pre-licensing visit. LPA's identified themselves and discussed the purpose of the visit with Licensee Sona Bhatia and Administrator Ellen Barrientos. An initial application to operate a Residential Facility Care for the Elderly was submitted to CCL on 12/3/2021. There are 117 residents in care during today's visit. LPA's observed facility is following covid precaution guidelines.

LPA's Tirre and Lyman along with Licensee Sona Bhatia, Administrator Ellen Barrientos, Katherine Trevino Assistant Administrator toured the facility at 10:15 AM and observed the following:

Structure: Facility is a two story building housing 54 apartments in the assisted living and 18 apartments in the memory care unit. All assisted living apartments are currently double occupancy. Facility offers a library, dining room, TV room as well as two outside patios. Living Room/ Dining Room : Adequate seating is available in the main dining room. Bedrooms Residents: All rooms are equipped with appropriate lighting, chair, night stand and ample closet space. Bathrooms: All resident bathrooms have a working toilet/ wash basin as well as grab bars and non-skid surface in the shower. Emergency Phone Numbers and Exit Plan: Posted in entrance of facility. Food Service: Facility has ample perishable and non perishable food supplies. All equipment is tested for temperature and are within acceptable ranges. LPA observed a posted menu with multiple choices for residents. Smoke Detectors: Carbon monoxide detectors were tested operational. Smoke detectors are tested in-house and documentation was provided by Compliance Fire Protection. Fire extinguishers are fully charged. Toxins : Secured and inaccessible to residents in care. Water Temperature: Tested and recorded between 84.0 and 134.4 degrees F in tested bathrooms. Emergency Supplies: LPA observed ample emergency food and water stored onsite in facility storage. Facility has a posted emergency menu in kitchen as well. CONT ON LIC 809C DATED