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Type of visit: Case Management - Other

On July 8, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to follow up on a 30-day eviction letter that the facility issued to resident #1 (R1). LPA met with Administrator Designee Jizeel Clement and Quality Assurance, Jennifer Tobias. On July 6, 2026, Ms. Tobias provided a copy of R1's 30-day eviction notice to LPA that was provided to R1's responsible party. After reviewing the 30-day notice, LPA informed Ms. Tobias that the 30-day notice was not in compliance with Title 22 under Eviction Procedures and it needed to be retracted, revised and reissued. During today's visit, LPA met with Ms. Tobias, and reviewed the Title 22 Regulation for Eviction Procedures. Ms. Tobias stated that the facility will retract the 30-day eviction notice and will reissue it to the responsible party. No deficiency is cited today. This report is reviewed and discussed with the Administrator Designee, Quality Assurance and Resident Care Coordinator. A copy is provided.the state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Case Management - Incident

On July 8, 2026, Licensing Program Analyst (LPA) Murial Han conducted a unannounced case management visit to follow-up on an incident that was reported by the facility. LPA was greeted by the receptionist and LPA explained the purpose of today's visit. The administrator was informed of LPA's visit over the phone by the med tech, Karis Caballero. LPA received a tour from the med tech of the facility and at the end of the tour, the administrator designee, Jizzel Clement took over and assisted with the rest of the visit. On June 17, 2026, the facility reported an incident that happened on June 16, 2026 concerning to resident #1 (R1) who was sitting in the patio around 3:15PM and at 3:30PM, staff noticed that R1 was missing. The incident report stated that staff checked R1's room but R1 was not there so they searched the entire facility and R1 was no where to be found. Subsequently, they called the local law enforcement and reported R1 being missing and at the same time, the local law enforcement informed them that they found R1 they were returning R1 back to the facility. The incident report also stated that a quick assessment of R1 was conducted and revealed R1 was at his/her baseline. During today's visit, LPA observed R1 in the activity room to be calm, and pleasant. LPA interviewed the administrator designee who stated that at the time of the incident, the front gate was being repaired by an outside contractor and the contractor left it open resulting in R1 exiting the facility. The administrator designee stated that after the incident, the facility provided re-training to staff on elopement, R1's service needs and plan was updated and the administrator met with the outside repair company and reinforced resident safety expectations. No deficiency is cited today. This report is reviewed and discussed with Quality Assurance, Administrator Designee and Resident Care Coordinator.the state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Required - 1 Year

On August 13, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Quality Assurance, Jennifer Tobias and explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story memory care facility. LPA toured the facility including but not limited to a random sample of resident rooms, common areas, communal bathrooms, and kitchen area. LPA observed residents eating lunch and participating in activities. A comfortable temperature is maintained in the facility and lighting is sufficient for comfort. Hot water temperature measured between 106-111 degrees F throughout the facility. Overall facility was in clean, odor-free and free from any tripping hazards. Resident rooms and bathrooms observed had all required furnishings, and grab bars in each bathroom. LPA toured kitchen and observed 2 days for perishables and and 7 days non-perishable. Medications, sharps and chemicals were locked and inaccessible to residents. Emergency drill are being conducted and logged every 3 months. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of December 2024. First aid kits were observed present and complete. Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during the visit. Report is reviewed with the Jennifer Tobias and a copy is provided.the state’s words, verbatim · CDSS document, Aug 13, 2025

Allegation investigated: Facility does not have adequate medical equipment.

On December 18, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Neeru Verma and explained the purpose of the visit. Regarding the allegation, facility does not have adequate medical equipment, according to the reporting party, Resident 1 (R1) is diabetic and the facility runs out of equipment, in specific test strips. According to the reporting party, the med-tech indicated that the test strips is on it's way, however reporting party indicated that they are unsure when the test strips will arrive. During the visit, LPA interviewed Administrator, Med-techs, and observed R1's medications. According to the Administrator, R1's responsible party orders test-strips for R1 because R1's responsible party ordered a new machine for R1 and there are specific test strips that can be used. During the visit, LPA observed a full bottle of R1's test strips. According to the Administrator and Med-techs, prior to R1's new machine, the facility used to call the pharmacy for refills once a month for 30-day supply. In addtion, now with the new machine, med-techs will notify administrator when test-strips are low and administrator will contact R1's responsible party. Based on interviews & observations, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed with the administrator and a copy is provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 18, 2024 · control 14-AS-20241210100533

Type of visit: Prelicensing

On 9/13/2024 LPAs Grace Donato & Kiran Jain made an unannounced pre-licensing visit to the facility. LPA met with Administrator Neeru Verma. LPA explained the purpose of the visit. LPA toured the facility including random resident rooms, common areas & kitchen. The passageways were free of obstruction. Residents currently engaged in the activity room. The residents have adequate amount of linens and all personal belongings are intact. While touring the facility it was observed that the room temperature was at 69 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. Carbon monoxide monitor is working properly. All fire extinguishers are in place and current. Facility has sprinkler system. Client bathrooms were observed to be in good repair equipped with grab bars and non-skid floors. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Medication is updated and logged. Three client records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Facility is clean and in good repair based on observations made today. Facility is in compliance with Title 22 regulations. No citations are issued. Component III is conducted on this day. No deficiencies are cited at this time. Report is reviewed and a copy is provided.the state’s words, verbatim · CDSS document, Sep 13, 2024