Eden Assisted Living

Type of visit: Required - 1 Year

On 07/23/2026 at 12:44 PM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with care staff Rose Marie Simpson and explained the purpose of the visit. LPA called the administrator, Samuel Tet at 12:53 PM to explain the reason for the visit and left a voicemail. Administrator Samuel Tet was not present during the inspection. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/16/2026. Emergency Disaster Plan was last reviewed on 04/20/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 04/30/2026. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. The updated copies of the following documents were requested to be submitted to LPA by 07/30/2026: Updated LIC500 Liability Insurance Renewal document Administrator's Certificate # 7001579740 expires on 11/29/2027. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 23, 2026

Type of visit: Required - 1 Year

On 07/24/2025 at 11:11 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Care Staff, Nadine Gabbidon and explained the purpose of the visit. Administrator, Samuel Tet was not present during the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 113.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/17/2025. Emergency Disaster Plan was last updated on 05/18/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 05/18/2025. LPA reviewed 6 residents records and 4 staff records; all were complete. LPA also reviewed a sample of 6 resident’s medications.The following documents were reviewed during the visit: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 24, 2025

Type of visit: Required - 1 Year

On 07/17/2024 AM , Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Staff, Nadine Gabbidon and explained the purpose of the visit. Administrator Samuel Tet was not be able to be present during the inspection. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 69 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/29/2024. Emergency Disaster Plan was last posted on 06/20/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/20/2024. LPA reviewed 5 residents records and 3 staff records; all were complete.LPA also reviewed residents medications. LPA also reviewed the Emergency disaster Plan, Liability insurance as well as the infection control plan. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 17, 2024

Type of visit: Required - 1 Year

On 10/30/23 at 9:30 AM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an unannounced required one year inspection and met with Administrator (ADM) Samuel Tet and explained the purpose of the visit. LPA observed two (2) males and (2) female in bed and one (1) female watching TV in the living room during the visit. LPA inspected the facility inside and outside. Pathways were observed to be free of obstruction and fire hazards. The facility's fire clearance was approved for 4 non-ambulatory and two (2) bedridden residents which includes Hospice Waiver for two (2) residents. A written Emergency/Disaster plan dated 10/10/23 was posted on a bulletin board next to the dining area near a lane line phone. Centrally stored medications were locked in a plastic container above the wall next to the kitchen. Sharp objects were locked in the kitchen drawer next to the sink. Toxic chemicals were locked in the laundry area. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at 71 degrees Fahrenheit. Hot water temperature was measured at 112.8 degrees Fahrenheit in the resident's bathroom. Resident's bathrooms have grab bars inside the shower and next to the shower. The facility has trained staff in Dementia Care, Medication, and Basic Training. Last Fire drill was conducted on 10/10/23. Fire extinguisher was fully charged and last inspected on 03/23/23. Smoke and Carbon monoxide detectors were operational. LPA reviewed two staff and 2 resident files. Staff had criminal record clearances to work and are associated to the facility. Residents records all contain Admission Agreements, Physicians' reports, Consent forms, Personal rights, medical assessments, Needs and Services plans/Appraisals. The facility serves residents with Dementia. The facility has potentially dangerous objects locked and inaccessible to residents in care. Report continue on LIC 809C... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 11/6/2022: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, Oct 30, 2023