Inner Circle Assisted Living #2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual inspection of the facility. Upon arrival, LPA Haddadin was greeted by Administrator Eric Lin, who granted entry and was informed of the purpose of the visit. The LPA toured both the interior and exterior of the facility and made the following observations. The facility is a single-story residence comprising six resident bedrooms, three resident bathrooms, a living room, a kitchen with a dining nook, a dining area, a laundry room, and a staff break room. At the time of the visit, three residents were present. All residents’ bedrooms were inspected and found to be appropriately furnished with beds, chairs, and clean linens. These rooms provided adequate storage and were free of tripping hazards. The kitchen was in good repair, with all major appliances operational. Knives and other sharps were secured and inaccessible to residents. A first aid kit was available, containing all required elements and a first aid manual. Medications were observed to be properly stored in a locked closet. All fire alarms and carbon monoxide detectors were tested and found to be operational, and auditory devices on exit doors were in proper working order. An Additional Dwelling Unit (ADU) with a separate address is located on the property. Both buildings are included on the facility sketch and have the necessary fire clearances. The exterior of the facility was well-maintained, with furnishings in good repair and pathways unobstructed. The grounds appeared safe and inviting, featuring a shaded seating area for residents. Fire extinguishers were fully charged, with indicators in the green zone, and the most recent inspection was noted as April 4, 2026. (Continued on LIC 809-C) The hot water temperature was measured at 113.3 degrees Fahrenheit, which meets regulatory requirements. Records indicated that the last emergency drill was conducted on April 20, 2026. The facility maintained sufficient food supplies, including at least two days’ worth of perishable items and seven days’ worth of non-perishable items. A review of resident files revealed no discrepancies, and staff files were inspected and found to be up to date. Based on today’s inspection and observations, no deficiencies are being cited in accordance with Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to the licensee.the state’s words, verbatim · CDSS document, May 14, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Rose Ruppert made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA met with Administrator (AD) Eric Lin. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by our agency on November 1, 2024 for a total capacity of six non-ambulatory and a hospice waiver for six. The facility is a single story residence with six resident bedrooms, three resident bathrooms, a living room, a kitchen area with a nook, a dining area, a laundry room and break room. There is an Additional Dwelling Unit with a different address that resides on the property. Both buildings are on the facility sketch and have fire clearances. LPA toured the exterior of the property and observed a shaded seating area and ramp, a raised garden bed and two self-closing gates. LPA toured the kitchen area and observed that there were seven day non-perishables on hand and will stock with two-day perishables once residents are in care. Knives are secured in a locked drawer and disinfectants are stored in a locked closet. All appliances are new and are working. A First Aid Kit had all of the required elements and included a First Aid manual. Medications will be stored in a locked closet. All fire alarm and carbon monoxide detectors were operational and auditory devices on exit doors were in working order. The hot water temperature measured between 106.8 and 108.3 degrees Fahrenheit. The fire extinguisher is charged and was serviced on December 19, 2024. All bedrooms had the required furnishings with a bed, linens, chest of drawers and lighting. There are motion detector lights for hallways. (Continued on LIC 809-C) (continued from LIC 809) LPA observed the PUB 475, Emergency Disaster Plan, Theft and Loss Procedures, Personal Rights and Resident Council notices on a bulletin board near the entry way. Administrator's Certificate expires on August 29, 2026. AD Lin was advised that Administrator must always be available. AD will fill out LIC 308 with Administrative Designee or look into a full-time Administrator. LPA conducted the Component Three Orientation with AD. AD was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted and a copy of this report was provided to Licensee.the state’s words, verbatim · CDSS document, Apr 14, 2025