Arbor Place

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Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by administrator. LPA explained the purpose of the visit to Administrator. Administrator certificate # 7003501740 expires 01/22/2028. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 76 bed facility with a current census of 66. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Medications noted to be locked to residents in care. LPA also conducted the care tool. No bodies of water were observed at the facility. Hot water temperature was measured at 120 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on 02/10/2026 and current, smoke and carbon monoxide detectors that were tested on 06/22/2026, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed eight (8) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed eight (8) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Aug 27, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Kesha Lewis arrived to the facility unannounced to conduct a case management visit. LPA met Frances Santillan , and explained the purpose of the visit. An incident report was sent to the Department regarding a a staff member from the ventage fair facility that used a residents (R1) debit cared to makes purchases on tik tok, R1 moved from vintage fair to Arbor then discovered the charges. That staff member never worked at arbor. That staff member has been let go. Per California Code of Regulations (CCR), Title 22, No deficiencies are being cited. An exit interview was held, a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 27, 2026

Type of visit: Prelicensing

On 5/20/2025,Licensing Program Analyst (LPA), Kesha Lewis arrived announced to conduct an inspection to the above facility for purpose of a pre-licensing evaluation. This pre-licensing is for Change of Ownership (CHOW). LPA met with Belinda Guzman, Erik Olson with Ensign and Frances Santillan with convent care and explained the purpose of the visit. LPA, Kesha Lewis inspected the physical plant of the facility to ensure compliance of Title 22 regulation. LPA observed 8 random resident units, the activity room, dining room, kitchen, laundry, and outdoor areas. Facility has a 76-resident capacity for Assisted Living residents, 76 of which 76 can be non ambulatory residents. Facility is a one-story building located in a residential neighborhood. Outdoor passageways, walkways, driveways, and steps are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. LPA did not observe bodies of water at this time. Bedrooms Residents: LPA inspected 8 resident units. Each unit is fire cleared for non-ambulatory residents. The resident apartments/units are spacious and will easily accommodate the residents furnishings. The inspected resident units were observed to be furnished with adequate storage for resident belongings. Bathroom: Each resident unit contain private bathroom. All bathrooms inspected have working toilets, wash basins and showers. There are grab rails next to both the toilets and the showers as well as nonskid flooring. Toxins and Chemicals: Toxins and chemicals for cleaning are properly stored, locked, and inaccessible to residents in care. Water temperature: Water temperature in a randomly selected bathroom (in a resident units) were measured at 112 and 119 degrees F. Activities: Facility employs an activity director. LPA observed activity calendar for residents use. LPA observed an activity area in the facility. Doors leading to the outside have auditory devices to monitor exits. Food Service and Kitchen: Kitchen area and dining area were inspected and observed to be in good repair. Knives, cutlery and other sharp kitchen utensils are in locked and inaccessible to residents. Food supply was adequate and stored in kitchen refrigerator and walk-in pantry and consists of the following: A variety of fresh and canned fruit, vegetable and meat food items. Stove burners and oven were observed to be in good repair. Temperatures in refrigerator and freezer were observed to be within regulatory standard. Menu was observed and available to residents in care. Smoke Detectors/Carbon Monoxide: Each inspected resident units were observed to have a smoke detector and carbon monoxide detectors. Additionally, facility is equipped with sprinkler system. Smoke detectors are hardwired and interconnected, and they are fully operational. Facility conducts quarterly disaster emergency drills. Medications and First-Aid Kit: Resident medications were observed to be stored in the medication room and observed to be locked and inaccessible to residents in care. First aid kit has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and manual which are stored in locked cabinet, available for staff use but inaccessible to clients. Facility, Residents & Staff Files: Applicant will handling cash resources for residents or families that choose to. Records of staff and residents are stored in a locked room and accessible to staff. LPA reviewed 5 resident files and 5 staff files. Component III: was Conducted on 5/20/2025 at Arbor Place, information provided about how to operate the facility within substantial compliance. Pre licensing is complete and this facility has no deficiencies. An exit interview was conducted with Belinda Guzman. A copy of this report was provided. If the applicant have questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, May 20, 2025

Type of visit: Case Management - Other

This is an amended report. Licensing Program Manager (LPM) Liza King AMENDED this report which was previously entered on this facility in error. The exact report in its original form can be located on facility number 397004353. No citations were issued and a copy of this report was provided via email to the Administrator of record Belinda Guzman.the state’s words, verbatim · CDSS document, Apr 16, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Apr 18, 2025

Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not meet as evidenced by: based on, interviews with clients, records recieved, and adminststrator inteview. this poses a potential risk to residents in care,the state’s words, verbatim · CDSS document, Apr 16, 2025

Plan of correction: The adminstrator will sign the citation, read and understand the regulation, and email confirmation to the LPA.