The Commons on Thornton

Type of visit: Required - 1 Year

On 8-5-2026 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the administrator Marie Arbios and explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, common areas, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an residential care facility for the elderly (RCFE) with a current census of 91. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place. Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 75*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 2-17-26. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and accessible to staff. {Cont. 809C} During this inspection 5 resident files and 5 staffing files were reviewed for regulatory compliance. All files contained required contents including staff training requirements. All staff contained criminal background clearances. LPA completed 4 resident interviews and 4 staff interviews. Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. Facility’s liability insurance is current and up to date per regulatory requirements. Facility does not contain any bodies of water. LPA observed personal rights and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed facility’s activity calendar and sufficient equipment and supplies to meet activity program needs of residents in care. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts monthly fire drills. LPA requested an updated copy of LIC 308 and LIC 500. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administratorthe state’s words, verbatim · CDSS document, Aug 5, 2026

Type of visit: Case Management - Incident

On 3-18-2026 at 1:25pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced conduct a case management visit regarding safeguarding of items. LPA met with Administrator Marie Arbios and explained the purpose of the visit. LPA conducted interviews with Administrator and resident1 (R1). LPA also reviewed incident report dated 2-25-2026 and facility's internal investigation, and other facility file documentation related to R1. Based on interviews and record reviews, it was revealed that on or about 2-23-2026, R1 reported to facility staff that he was missing cash from his wallet in the approximate amount of four-hundred forty dollars ($440.00). Interview revealed that the cash was last stored in his recliner chair and was last seen on 2-4-2026. A search was performed by facility staff, but staff was unsuccessful in locating money. An internal investigation was performed by the facility which could not reveal or prove corroboration of theft or other wrongdoing. Facility also followed the established theft and loss policy which included reporting requirements and report to local law enforcement. Additional interviews conducted by LPA did not reveal corroboration of theft or other wrongdoing. Additional documentation revealed that R1 had inventoried the cash or other items. As a result of today's case management, no citations are issued. An exit interview was conducted with Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 18, 2026

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis conduced a case management incident inspection regarding incident reports received dated 9/01/2025. LPA explained purpose to the administrator. The incident reports were for R1 having suicidal ideology. LPA reviewed incidents reports Resident records including the physicians report and needs and service plan. All reporting was done on time and to the required departments. R1 was cleared by medical professionals and service plane was updated accordingly. Per California Code of Regulations, Title 22 NO deficiencies were observed and are being cited during today's case management inspection. An exit interview was conducted and a copy of this report was given via email.the state’s words, verbatim · CDSS document, Sep 16, 2025

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 staff. LPA explained the purpose of the visit to staff. Executive director joined about two (2) hours later. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. LPA observed, fire extinguishers inspected on 02/18/2025 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed eight (15) 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 (20) resident facility files of which four (10) for memory care and four (10) were assisted living, COVID-19 Plan, and survey binder. All necessary documents were in place. 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 110 bed facility with a current census of 105. There is entry door is leading to a common area that leads to the kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. No bodies of water were observed at the facility. Hot water temperature was measured at 109 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. 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. Elevator inspection is current to 11/19/2025. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point. Exit interview and copy of the report was given.the state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 5/16/2025. LPA explained purpose of visit to the administrator. The incident reports were un-witnessed falls for R1 and bed bugs in the room of R2. LPA reviewed incidents reports Resident records. All reporting was done on time and to the required departments. Treatment were completed in a timely manner for R2 and re-treatment has been conducted. Per California Code of Regulations, Title 22 NO deficiencies were observed and are being cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 3/27/2025 for incident that happened in March. LPA explained purpose of visit to the administrator. The incident reports were un-witnessed falls for R1 and R2 . LPA reviewed incidents reports Resident records. All reporting was done on time and to the required departments. Per California Code of Regulations, Title 22 NO deficiencies were observed and are being cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 21, 2025

Allegation investigated: Licensee did not provide resident with a general description of additional costs of the general increase for residents per the admission agreement Licensee did not provide residents with changes in level of care that would result in an increase in monthly fees

On 10-18-24, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to continue a complaint investigation for the allegations noted above. LPA met with Administrator Marie Arbios and explained the purpose of the visit. LPA requested a copy of facility's admission agreement and other pricing structure documentation. The facility was able to provide detailed information and show written policy about what is to be done when there is a price increase for the facility. LPA finds the facility followed the policy in the incidentsnotifiing resident on the price increase. Therefore, this complaint is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted. copy of report given. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 18, 2024 · control 27-AS-20240730141410

Type of visit: Case Management - Annual Continuation

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a continuation of Required 1 Year Annual Inspection Visit. LPA explained the purpose of the visit to Administrator. 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 110 bed facility with a current census of 105. There is entry door is leading to a common area that leads to the kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. No bodies of water were observed at the facility. Hot water temperature was measured at 110 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. 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. Elevator inspection is current to 9/20/2024. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point.the state’s words, verbatim · CDSS document, Jul 12, 2024

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 executive director. LPA explained the purpose of the visit to the director. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. LPA observed, fire extinguishers inspected on 02/08/2024 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance containing at least the following: a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, and Antiseptic solution. 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 of which four (4) for memory care and four (4) were assisted living, COVID-19 Plan, and survey binder. All necessary documents were in place. Due to time restraints LPA Lewis will return another time to compete the visit.the state’s words, verbatim · CDSS document, Jul 5, 2024

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 1/18/2024 for incident that happened in late December and early January. LPA explained purpose of visit to the administrator. The incident reports were multiple incidents of 911 calls for residents. LPA reviewed incidents reports and facilities training on reporting requirements, the facility had provided follow up training for staff regarding reporting requirements to ensure incidents are reported on time and to the correct departments. Per California Code of Regulations, Title 22 deficiencies were observed and are being cited during today's case management inspection. See 9099D Page. An exit interview was conducted and a copy of this report was given. Appeal rights provided.the state’s words, verbatim · CDSS document, Mar 15, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Mar 18, 2024

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) 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 is not met as evidence by Based on records reviewed and interview with executive director Marie Arbios.The licensee did not ensure that the facility provided a written report to licensing for the multiple incidents at the facility. This is a potential safety risk to residents in care.the state’s words, verbatim · CDSS document, Mar 15, 2024

Plan of correction: Executive director Marie Arbios. Has already provided training to staff regarding reporting requirements. No further action is needed at this time.

Type of visit: Case Management - Other

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility announced for the purpose of participating in the resident council meeting. LPA explained purpose of visit to the to staff. Per California Code of Regulations, Title 22 no deficiencies were observed or cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Feb 8, 2024

Type of visit: Case Management - Other

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management visit following up on an email that was sent to the administrator regarding thefts at the facility. LPA explained purpose of visit to the administrator. The facility will email LPA Lewis all reports regarding thefts and all police reports regarding the thefts and any supporting documentation. Per California Code of Regulations, Title 22 no deficiencies were observed or cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Nov 27, 2023

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident report received dated 11/07/2023 . LPA explained purpose of visit to the administrator. The incident report was regarding charges on a residents bank card. LPA reviewed incidents reports and facilities theft policy, the facility provides a locking cabinet in residents room to detour theft. All incidents were reported on time and to the correct departments. Per California Code of Regulations, Title 22 no deficiencies were observed or cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Nov 13, 2023

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident report received dated 09/11/2023 . LPA explained purpose of visit to the administrator. LPA reviewed incidents reports and facilities theft policy, the facility provides a locking cabinet in residents room to detour theft. All incidents were reported on time and to the correct departments. Per California Code of Regulations, Title 22 no deficiencies were observed or cited during today's case management inspection. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Oct 11, 2023