New Horizon Lodge

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced case management visit regarding an incident that was reported to Orange County Adult and Senior Care Program Regional Office (OCRO) April 27, 2026. LPA Haley introduced himself and stated the purpose of the visit upon entry. After a review of the incident report and speaking with Administrator Jonathan Barrios, details in the incident that was sent to the OCRO were confirmed. On Thursday, April 23, 2026, Resident 1 (R1) was administered the wrong medications. R1 received the morning medications for Resident 2 (R2). The medication error was not realized immediately, and R1 did not display any immediate change in condition. R1 continued with their regularly scheduled activities for the day and left New Horizon to attend a scheduled meeting. Staff 1 (S1) is the med tech responsible for the medication error and contacted Administrator Barrios once it was realized a medication error occurred. At some point later in the day, after leaving New Horizon to attend a scheduled meeting, R1 had a change in condition and was sent to West Anaheim Medical Center. New Horizon staff were notified that R1 was being sent to the hospital. R1 has not returned yet and is currently at a Skilled Nursing Facility (SNF). As a result of today’s Case Management visit, a deficiency will be cited. An exit interview was conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 30, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: May 8, 2026

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed… (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Staff 1 (S1) administered Resident 2's (R2) morning medications to Resident 1 (R1) on Thursday, April 23, 2026, in error. This poses an immediate health risk to persons in care.the state’s words, verbatim · CDSS document, Apr 30, 2026

Plan of correction: Administrator Barrios has removed S1 from medication administration and S1 has received daily retraining. S1 will complete the last day of the five day retraining today. In addition to the retraining of S1, Administrator Barrios has scheduled a medication training for all medication techs and S1 will be in attendance. The medication training will be conducted by the facility nurse next Friday, May 8, 2026. Administrator Barrios agrees to email LPA Haley the topics covered in the training, the duration of the training, and a sign in sheet for all med techs in attendance. POC is due Friday, May 8, 2026 at 4:00pm

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. 78 residents were present during the inspection. Structure: The facility is a two level structure and licensed for 120 residents, of which 58 may be non-ambulatory (first floor only), and there’s a hospice waiver for 18. All residents on the second floor are ambulatory and do not require any assistance ambulating. Bedrooms: All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Grab bars are tightly secured to the wall. Hot water measured in the range of 111.7 – 118.6 degrees F. Kitchen: 3 of 6 burners are operational on the commercial gas stove. Sharps are secured to the wall. Refrigerator, freezer, food, temperature logs were present and readily available for review. Food Service: A supply of perishable and non-perishable food items that meet regulation requirements was observed. The facility receives two food deliveries a week. Emergency food and emergency water was observed. Resident & Staff Files: Resident and staff files stored in the administrator’s office. File Review: Nine resident files were reviewed during the visit, and nine staff files were reviewed. Medications/First-Aid Kit: Resident medications are stored in a locked medication cart in the medication room. Medication Review: Seven resident medications were reviewed during the visit. No discrepancies were noted. Medications are being administered as prescribed. Continued on LIC809C Linens/Laundry: There’s a laundry room on the first floor for housekeepers only, and there’s a laundry room on the second floor with four washers and four dryers. Plenty of additional linens was observed inside the laundry room on the second floor. Storage & Supply Room(s): There is a supply room that is used as the maintenance office and remains locked and off limits to residents. There is a storage room used to store incontinent care supplies which is lock and off limits to residents. Outside/Exterior: There’s an outdoor courtyard with plenty of seating. There’s also a table and chairs under a gazebo in the middle of the court yard. Bodies of Water: None Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguishers were observed on the walls through out the facility. Extinguishers were also observed mounted on the wall on the exterior portion of the facility. An emergency evacuation drill: Was conducted December 3, 2025. Evacuation drills are conducted monthly. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Several facility postings are posted on the walls near the main entrance and available for review. Additional Comments: Licensing fees are current and facility contact information was reviewed and a updated facility number was provided: 714.821.5780. A secondary number was provided, and a new email address was provided: jbarrios@trucarecommunity.com The facility profile will be updated. As a result of today’s inspection, one technical violation (TV) will be issued. An exit interview conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 17, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Facility staff does not ensure that resident has clean water. Facility failed to provide adequate care and supervision. Facility staff did not notice a change in the resident's condition. Facility staff failed to assist resident during meal service.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on February 19, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility staff do not ensure that resident has clean water. Regarding the allegation the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and observed that there is a water filter located on the first floor. LPA observed that the water filter provides clean water. During the course of the interviews with residents, Resident 1 (R1) reported that she gets clean water. Per R2, she gets clean drinking water from the facility filter water. R3 reported that she always gets clean water. During the course of the interviews with staff, Staff 1 (S1) reported that the facility provides the residents with clean water. S2 stated that the residents are provided with clean drinking water. CONTINUED ON LIC9099-C... Unsubstantiated Regarding the allegation that facility failed to provide adequate care and supervision, the following was revealed: During the course of the investigation LPA reviewed documents including the New Horizon Lodge, Inc. staff schedule dated August 10, 2025, through August 23, 2025. Per staff schedule on average there are two caregivers and one Medication Technician (MT) for the morning shift from 6:00 a.m. to 2:30 p.m. and for the afternoon shift from 2:00 p.m. to 10:30 p.m. and there is one caregiver and one MT for the night shift from 10:00 p.m. to 6:30 a.m. During the course of the interviews with residents, R1 reported that the facility provides adequate care and supervision. R3 stated that the residents are provided with adequate care and supervision and reported that staff care a lot. Per R4, staff are nice and helpful. R4 stated that staff provide the residents with adequate care and supervision. During the course of the interviews with staff, S1 reported that staff provide the residents with adequate care and supervision and stated that they usually assist the residents within five minutes. Per S2, staff make sure that the residents are provided with adequate care and supervision. Regarding the allegation that facility staff did not notice a change in the resident’s condition, the following was revealed: During the course of the interviews with residents, R1 reported that staff check when the residents’ have a change in condition. Per R3, staff care a lot and stated that staff keep notes on the residents’ conditions. R4 reported that staff keep track of the residents' change in condition. During the course of the interviews with staff, S1 reported that when she notices a change in condition in a resident, she will report it to the Wellness Director. S2 stated that when staff notice a change in condition in a resident that staff will report it to management. Regarding the allegation that facility staff failed to assist resident during meal service, the following was revealed: During the course of the interviews with residents, R1 reported that staff will assist those residents who need assistance with their meals and stated that the residents have not complained about not being assisted during meals. Per R2, staff will assist the residents during meals if the residents need help. R3 reported that staff will assist the residents with their meals. Per R4, this place is better than some places. R4 reported that staff will assist the residents during meals. During the course of the interviews with staff, S1 reported that staff will assist the residents with their meals when they need assistance or if they are sick. CONTINUED ON LIC9099-C... Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with AD Barrios, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 22-AS-20210219083848

Allegation investigated: Facility has pest issues. Staff was rough with resident. Staff speaks inappropriately to resident. Facility shower room is not clean. Facility has not enough staff to meet residents' needs.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on May 26, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility has pests issues. Regarding the allegation the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and did not observe pests in the facility. During the course of the interviews with residents, Resident 1 (R1) reported that she has never seen pests in the facility. Per R2, she has been living here for over two months and stated that she has not seen pests. R3 reported that she has never seen pests. Per R4, he has not seen pests. During the course of the interviews with staff, Staff 1 (S1) reported that she has never seen pests in the facility and reported that a pest control company does visits to the facility. S2 stated that she has never seen pests in the facility. CONTINUED ON LIC9099-C... Unsubstantiated Regarding the allegation that staff was rough with resident, the following was revealed: During the course of the interviews with residents, R1 reported that staff have never been rough with her. Per R1, staff are respectful. R2 stated that staff have not been rough when helping her. Per R3, staff have never been rough with her. R4 reported that staff have never grabbed him in a rough manner. During the course of the interviews with staff, S1 reported that she has never seen staff grabbed a resident in a rough manner. Per S1, she has never been rough with the residents. S2 stated that staff are never rough with the residents. Regarding the allegation that staff speak inappropriately to resident, the following was revealed: During the course of the interviews with residents, R1 reported that staff have never spoken to her inappropriately. Per R2, staff do not speak to her inappropriately and stated that staff are respectful. R3 reported that staff have never spoken to her inappropriately. Per R4, staff have never spoke to him inappropriately. During the course of the interviews with staff, S1 reported that she has never spoken to the residents inappropriately. S2 stated that she has never witnessed staff speaking inappropriately to the residents. Regarding the allegation that facility shower room is not clean, the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and observed that the showers were clean. During the course of the interviews with residents, R1 reported that her bathroom is always clean. Per R2, her shower is clean and stated that her bathroom gets clean every other day. R3 reported that her shower room is clean and reported that her bathroom gets cleaned weekly. Per R4, his shower is clean and reported that his bathroom gets cleaned weekly or every other day. During the course of the interviews with staff, S1 reported that the shower rooms get cleaned daily. S2 stated that the shower rooms are always clean. Regarding the allegation that facility does not have enough staff to meet the residents’ needs, the following was revealed: During the course of the investigation LPA reviewed documents including the New Horizon Lodge, Inc. staff schedule dated August 10, 2025, through August 23, 2025. Per staff schedule on average there are two caregivers and one Medication Technician (MT) for the morning shift from 6:00 a.m. to 2:30 p.m. and for the afternoon shift from 2:00 p.m. to 10:30 p.m. and there is one caregiver and one MT for night shift from 10:00 p.m. to 6:30 a.m. CONTINUED ON LIC9099-C... During the course of the interviews with residents, R1 reported that the facility has enough staff to meet the residents' needs. Per R2, the facility has enough staff and reported that staff are stable. R3 stated that the facility has enough staff to care for the residents. Per R4, there are enough staff to meet the residents' needs and stated that staff are nice and helpful. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with AD Barrios, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 22-AS-20210526123651

Allegation investigated: Staff did not treat resident with dignity or respect Facility did not meet the resident's bathing needs Facility did not provide resident with linens

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on July 20, 2021. LPA was greeted and granted entry into the facility and met with Administrator Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that staff did not treat resident with dignity or respect. Regarding the allegation the following was revealed: During the course of the interviews with residents, Resident 1 (R1) reported that staff treat the residents with dignity and respect. Per R2, staff are respectful and stated that staff treat the residents with dignity and respect. R3 reported that staff treat the residents with dignity and respect. Per R4, staff treat him and all the residents with dignity and respect. During the course of the interviews with staff, Staff 1 (S1) reported that she has never being disrespectful to the residents and stated that staff treat the residents with dignity and respect. S2 stated that staff treat the residents with dignity and respect and reported that staff get along well with the residents. CONTINUED ON LIC9099-C... Unsubstantiated Regarding the allegation that facility did not meet the residents’ bathing needs, the following was revealed: During the course of the interviews with residents, R1 reported that staff will assist the residents with bathing as needed and stated that staff have asked her if she needs help when showering. Per R2, staff will assist the residents with their showers. R3 reported that staff help her with her showers and reported that staff do a great job. Per R4, staff will assist those residents that need help with showering. During the course of the interviews with staff, S1 reported that staff are meeting the residents' bathing needs and stated that residents are offered to shower but some refuse to shower. Regarding the allegation that facility did not provide resident with linen, the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and observed that the facility has extra supplies of clean linen such as blankets, flat sheets, comforters, pillowcases and towels. During the course of the interviews with residents, R1 reported that she gets provided with blankets, bed sheets, pillowcases, and bedspreads. Per R2, the facility provides the residents with linen. R3 reported that staff provide her with linen and stated that her linen gets replaced as needed. Per R4, staff provides him with enough linen and reported that his linen gets washed weekly or as needed. During the course of the interviews with staff, S1 reported that the residents are provided with linen and stated that the linen get replaced as needed. S2 stated that the facility provides the residents with linen and stated that it can get replaced weekly or as needed. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with AD Barrios, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 22-AS-20210720133631

Allegation investigated: Facility staff did not treat resident with dignity or respect Facility staff handled resident in a rough manner Staff are not treating resident's rash

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on December 10, 2021. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jonathan Barrios. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility staff did not treat resident with dignity or respect. Regarding the allegation the following was revealed: During the course of the interviews with residents, Resident 1 (R1) reported that staff treat the residents with dignity and respect. Per R2, staff treat her with dignity and respect. R3 reported that staff treat the residents with dignity and respect. Per R4, this place is better than some places and reported that staff treat the residents with dignity and respect. During the course of the interviews with staff, Staff 1 (S1) reported that she has never observed staff being rude to the residents. During the course of the interviews, AD stated that he did not receive any reports or concerns from a resident about their safety in the facility. CONTINUED LIC9099-C... Unsubstantiated Regarding the allegation that facility staff handled resident in a rough manner, the following was revealed: During the course of the interviews with residents, R1 reported that staff are helpful and stated that staff have never handled her in a rough manner. Per R2, staff do not handle the residents in a rough manner. R3 reported that staff have never handled her in a rough manner. Per R4, staff have never handled him in a rough manner. During the course of the interviews with staff, S1 reported that she has not observed any staff members assisting residents in a rough or abusive manner. During the course of the interviews, AD reported that he did not receive any report or concerns about staff’s attitude toward residents. Regarding the allegation that staff are not treating resident’s rash, the following was revealed: During the course of the interviews with residents, R1 reported that she has never had a rash and stated that she is happy here. Per R2, staff will help the residents if they have a rash. R3 stated that she has never developed a rash and reported that if she had a rash that staff would help her treat it. Per R4, if a resident had a rash staff would follow up with the Doctor. During the course the interviews, S1 reported that if she saw a rash that she would report it to the caregiver or to the nurse. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with AD Barrios, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 22-AS-20211210110818

Allegation investigated: Staff caused injury to resident Staff handle resident in a rough manner Staff failed to provide adequate transportation for resident(s)

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the three allegations listed above. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. Administrator Glenn Goldsmith was present to assist with the visit and was presented with the allegations investigated. An initial investigation visit was conducted on July 16, 2021. During the visit, licensing staff conducted a tour of the interior and exterior portions of the facility and two resident and one staff interviews along with a review of resident records maintained at the facility. Additional records reviewed during the investigation. During the present visit, LPA requested and obtained the facility's current census and reviewed records for resident R1. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM FORM LIC9099 Resident R1 was admitted to the facility on July 14, 2020 from a skilled nursing facility, on the assisted living waiver. R1 had a primary diagnosis of muscular distrophy and was non-ambulatory and requiring the use of a Hoyer lift to assist with transfers and toileting care. R1 was admitted on hospice on June 3, 2021, changed hospice provider on July 28, 2021, was discharged from hospice and readmitted with a third provider on June 14, 2022. Per a death report submitted by the facility to the Department, R1 passed away using medical aid in dying at the facility on July 29, 2022. Regarding the allegation that Staff caused injury to resident, the following has been concluded: Based on interviews conducted and records reviewed, R1 required two-person assistance along with the use of a Hoyer lift to transfer from the bed to her wheelchair as well as to receive toileting care. At the time of the incident reported, R1 was admitted onto hospice care and receiving assistance from a hospice bath aide three times a week. Per a review of hospice records, there were recorded instances of lower limb and feet swelling as well as one instance of toe debridement being required. There is however no evidence that the injuries were related to negligence on behalf of staff members. Regarding the allegation that Staff handle resident in a rough manner, the following has been concluded: Based on records reviewed and interviews conducted, the complexity of transfers for resident R1 was evidenced, however there was insufficient proof corroborating the allegation. Other concerns reported by R1 to hospice staff and local law enforcement also failed to yield any corroborating evidence. Regarding the allegation that Staff failed to provide adequate transportation for resident(s), the following has been concluded: Due to R1's specific needs, the facility courtesy van could not be utilized, however transportation alternatives in the form of vouchers were provided to alleviate worries of cost expressed by the resident. Based on the present investigation, the three allegations are found to be Unsubstantiated, meaning that although the above allegations may have happened there is not a preponderance of evidence to prove the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Feb 21, 2025 · control 22-AS-20210708134637

Allegation investigated: Staff is mismanaging medication Staff do not meet incontinence needs Residents personal rights are being violated Facility staff do not provide transportation to medical appointments

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the three allegations listed above. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. Administrator Glenn Goldsmith arrived lated to assist with the visit and was presented with the allegations investigated. An initial investigation visit was conducted on April 29, 2024. During the visit, LPA requested, obtained and reviewed the facility's current census and employee roster. Records maintained at the facility for three residents were also requested and reviewed. LPA accompanied by facility staf reviewed the Medication Administration Records for all three residents and conducted an interview with the facility Wellness Director/LVN. During the present visit, LPA requested and obtained the facility's current census and reviewed resident records as well as conducted four staff and six resident interviews. CONTINUED ON FORM LIC9099 Unsubstantiated CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff is mismanaging medication, the following has been concluded: Based on interviews conducted with residents and staff as well as a review of medication administration records for multiple residents, LPA observed that glucose measurements and insulin dispensation were adequately documented and appeared to be provided as prescribed. No other evidence of medication mismanagement were found during the present visits as well as during an unannounced review conducted during the facility's annual visit on February 11, 2025. Regarding the allegation that Staff do not meet incontinence needs, the following has been concluded: During both visits, licensing staff toured the premises and found them to be sanitary with no smells. A list of residents with incontinence was provided and four rooms assigned to resident with incontinence were visited. No smells, stains or other signs of inadequate incontinence management were found during either visits. No residents or staff interviewed evidenced issues either. Regarding the allegation that Residents personal rights are being violated, the following has been concluded: During each visit, LPA observed that all residents ambulating in the common areas, relaxing in activity spaces or relaxing in their own bedroom were dressed in clean clothing. None of the interviews conducted evidenced concerns regarding personal rights violations. Regarding the allegation that Facility staff do not provide transportation to medical appointments, the following has been concluded: The facility has a courtesy van and will assist with arranging transportation to appointments as needed as confirmed by staff interviews. Additionally, interviews conducted did not evidence any specific instances during which necessary transportation could not be obtained. Based on the investigation conducted, the four allegations are found to be Unsubstantiated, meaning that although the above allegations may have happened there is not a preponderance of evidence to prove the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Feb 21, 2025 · control 22-AS-20240424143446

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with staff and explained the reason for the visit. LPA and staff toured the facility. The facility is licensed for 120 residents of which 58 may be non-ambulatory (first floor only) and a hospice waiver for 18. The facility is a two story building with an interior courtyard. LPA observed the See Something Say Something poster (PUB 475) posted in the main lobby of the facility. LPA toured 10 resident rooms. LPA observed all resident rooms had the required furnishings and bed linens. Each smoke/carbon monoxide detector in the resident rooms inspected, tested operational. LPA observed that all resident bathrooms inspected were clean and operational. Hot water measured from 106.4 degrees Fahrenheit to 119.0 degrees Fahrenheit. LPA observed no obstacles or hazards inside of the facility. LPA toured the courtyard. There is fountain in the courtyard which is filled with plants and has no water There is shaded seating for residents to sit outside. No obstacles or hazards observed in the courtyard. LPA observed all the fire extinguishers in the facility are fully charged. LPA and staff toured the kitchen and dining room. LPA observed the kitchen is clean and operational. The refrigerators and freezers are at the required temperatures. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed a 3 day emergency supply of food and water stored in a storage room. LPA observed the medication room is kept locked and all of the medication are kept locked in the medication carts. The first aid kit in the medication room has all the required elements. LPA observed all cleaning supplies are kept locked in a storage closet. The facility has 3 stairways. LPA observed an emergency evacuation chair in each stairway. Administrator Glen Goldsmith arrived after the LPA and staff toured the facility. The Administrator's certificate expires on June 16, 2025. The last emergency drill was conducted on January 28, 2025. LPA reviewed 10 resident files and medications. no discrepancies observed. LPA reviewed 5 staff files. All staff had the required training. No discrepancies observed. All staff present at the facility are background cleared and associated to the facility. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Feb 11, 2025

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.