Walnut Village.

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted by front desk reception staff. LPA explained the purpose of the visit, and Executive Director (ED) Deborah Infield was notified via telephone and arrived shortly after to assist with the annual inspection. LPA accompanied with ED conducted a tour of the facility and observed the following. ED has a valid Administrator certificate valid from February 25, 2026 through February 24, 2028. The facility is a gated community with a total of 189 residents. There are three storied apartment buildings, along with individual independent living cottages inside the gated community. The facility includes an independent living unit, assisted living unit, and a memory care unit. The facility is approved for delayed egress doors in the memory care unit and they tested operational. The facility is equipped with evacuation chairs at the top of each stairwell. The facility includes an art studio, a theater room, a large pool and sauna, a hair salon, a bistro, a sensory room, a boccie ball court, gym, putting green, two dinning room venues, and underground parking for residents, and guest parking through out the property. LPA observed the main kitchen area to be clean and free of any mildew and debris. LPA observed the kitchen area to be inaccessible to residents in care, and for the kitchen area to have a gas stove walk in refrigerator and freezer. All appeared to be in good repair and tested operational. All sharps were observed to be inaccessible to residents in care. LPA observed facility to have a two day supply of perishable food and a seven day supply of non-perishable food along with a sufficient amount of emergency water on hand for all residents in care. CONTINUED ON LIC809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA observed a water fountain in the main courtyard, how ever the water fountain does not have a large body of water. LPA toured the inside of resident rooms and observed rooms that were toured to have all required furnishings such as a chest of drawers, a reading lamp, a bed, cleaning linens in good repair meaning no strains or tares, and enough storage space for residents to store away their personal belongings. LPA observed there to be several different floor plans, that meet the requirements of title 22 chapter 8 division 6 of the California Code of Regulations. Additionally resident units have a full kitchen area, and a common area available to residents in care. Resident unit bathrooms were observed to be clean and free of any mildew and debris, resident bathrooms had required items including a shower chair, grab bars, and slip resistant floor matts. Hot water temperature in resident bathrooms tested between 113.4 and 121.3 degrees Fahrenheit. LPA observed quarterly testing log for facility smoke detectors and carbon monoxide detectors tested operational on last inspection date of May 14, 2025. Inspection was conducted by Anaheim Fire Department. All smoke detectors and carbon monoxide detectors were observed to be in good repair. LPA observed fire extinguishers to be fully charged and up to date. LPA observed all required postings to be posted in the mail room; a food menu is made available to residents in care weekly, and the activity calendar is posted in a visible area for residents to take advantage of available activities for residents in care. LPA Reviewed ten resident files and ten staff files all files (staff and resident) had all required documents. LPA reviewed medications with Medtech staff and ED. LPA observed all medications to be documented correctly and per LPA review medications are being administered per physicians orders. Based on observations made during today's inspection no deficiencies will be issued per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with ED and a copy of this report was provided to the facility, additionally a copy of this report will be mailed to the facility.

W1 was interviewed regarding the January 26, 2021, fall and W1 confirmed a fall did occur; however, W1 stated they were pleased with the care provided at the facility. Based on the information gathered during the investigation through interviews and document review, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report was provided.

facility for three days a week for a few hours, where R1 does activities. R1 resides in the independent side of the facility with their spouse. As of April 16, 2025, however R1 was transferred to the memory care unit and LPA received a copy of the transfer form from independent living to memory care signed by the authorized representative for R1. It is alleged that staff is interfering with a resident from having visitors. In review of R1’s records reflects that there is a signed letter dates May 31, 2024, by R1 indicating the desire to not have visitations for one individual only and with instructions only allowed to call once a month, and there is no record of a resided letter from R1. In current times R1 works with facility staff to allow said individual to visit the facility at scheduled times and hours. Interview with Executive Director revealed that R1 is allowed to have visitors whenever R1 wanted to, however it is R1’s right to refuse visitors and therefore, generated the letter for restrictions of visitations. It is alleged that facility staff are interfering with residents’ sleep. LPA on March 17th and April 14th toured the facility physical plant and the summer house 3 area. LPA observed ample space in the event that R1 wanted to take a nap while attending respite hours in the summer house 2. During the tour LPA observed a few residents napping in that are of the facility. Interview with 3 of 3 residents stated that they can sleep whenever they want to, the facility doesn’t tell them when to take naps and can take naps in their apartment as well as common spaces that have the capability for a nap. It is alleged that facility staff are not allowing residents to move freely around the facility. LPA toured the facility on March 17, 2025, and April 14, 2025, and observed residents moving freely in the facility. LPA toured summer house 3 which is memory care unit and observed that it has egress doors, and a code is required for entry. Summer house 2 has its own patio designated for those residents. Interview with Executive Director states that R1 attends respite hours three times a week and if R1 gets a visitor during those hours they generally visit and stay in that area due to needing assess to come in and out. Any resident is allowed to move freely in the facility with no restrictions. R1 had a visitor and was visiting in the putting green of the facility, R1 as at respite care and since respite care is held at the summer house 2 they need Continued on LIC9099-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 access to travel out of that area. Summer house 2 has a patio and putting green that can be used for visitations if needed. Interview with 3 of 3 residents stated that they can move freely in the facility with no restrictions and use all the common spaces without a problem. It is alleged that facility staff are not ensuring medication is being dispensed as prescribed, furthermore complaint details states R1’s spouse is not properly dispensing medication. Record review for appraisal/needs and services plan reflects medication management walnut village staff to store, order and dispense medication as ordered by physician dated October 10,2023. Interview with 2 of 2 staff stated that R1 has been on medication management by facility since 2023 and spouse do not have access to the medication. When R1 and spouse moved in med management wasn’t being done, but that changed a few months after moving into the facility and since then facility is responsible for dispensing medication. Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. This report was reviewed with facility representative, and a copy was furnished to the facility.

Licensing Program Analyst William Vanegas made an unannounced inspection for the purposes of conducting an annual inspection and conducting an inspection for the expanded memory care unit. Upon arrival LPA Vanegas met with Administrator Deborah Infield and explained the purpose of the inspection. LPA Vanegas set up equipment and began a tour of the facility and observed the following, This is a gated community with a total of 198 residents. There is a large pool that is enclosed, and is accessible to residents in care using a key fob to open the pool door. Any residents that are in the memory care unit are accompanied by facility staff, or personal care giver. LPA Vanegas toured expanded memory care unit building, and observed it to be in good repair with all required components in order to be licensed. Updated fire clearance was received on March 6, 2025. Capacity increase was updated from 300 to 334 residents. LPA Vanegas observed quarterly testing log for facility to be updated and all smoke and carbon monoxide detectors tested operational and were observed to be in good repair. LPA Vanegas observed fire extinguishers to be fully charged and up to date. LPA Vanegas observed kitchen area to be inaccessible to residents in care, and for their to be a food menu and activity board posted in the proper locations and accessible to residents in care. Sharps, toxins, and medications are locked away and inaccessible to residents in care. LPA Vanegas observed a fountain in the main courtyard, how ever it does not have a large body of water. LPA Vanegas observed resident rooms to have all required furnishings such as a bed, clean linens, a lamp, chair, chest drawer and enough closet space for personal items. CONTINUED ON LIC809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA Vanegas reviewed eight resident files and eight staff files. All files (resident and staff) had all required documents. LPA Vanegas reviewed medications with medtech staff and administrator and observed all medications to be documented correctly and administered per doctors orders. LPA Vanegs observed facility restrooms to be clean and free of any mildew and debris, and to contain all required furnishings such as a shower chair, grab bars, and slip resistant floor mats. LPA Vanegas observed water temperature to be between 114.8 and 116.7 degrees. Based on observations made during todays visit no deficiencies will be sited per tittle 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Deborah Infield and a copy of this report was left at the facility.

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA met with Administrator Debbie Infield and explained the reason for the visit. This a three story Residential Care for the Elderly Continuing Care Retirement Community. Facility is operating within the conditions and limitations specified on the license. LPA conducted a tour of the property with Administrator Infield and observed the facility to be clean and sanitary. LPA observed all common areas including the underground basement. LPA inspected seven resident bedrooms and seven resident bathrooms in unit and one in the common area on the first floor. The residents' bedrooms were appropriately furnished. Beds and bedding supplies/linens were in good condition and adequate lighting was provided. Residents had sufficient storage space for their personal belongings. Bathrooms were found to be in compliance, clean, and operational. The hot water temperature in the bathrooms measured within range between 107.6 to 116.6 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. The swimming pool was also secured. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available in the kitchen. LPA toured the exterior portion of the facility. LPA observed the outdoor area free of obstruction. LPA observed sufficient seating and shading. Facility maintains fire extinguishers which were mounted, charged, and serviced on August 15, 2023. The facility did not pass the quarterly fire inspection conducted on June 17, 2024. Per Administrator Infield, a subsequent inspection report will be provided to LPA after the following repair dates conducted by the fire company on July 31, 2024 and August 1, 2024. Emergency disaster supplies including food/water were present in the basement. Emergency evacuation drills were conducted on a quarterly basis with the last drill on April 9, 2024. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size. Based on the observations made during today's visit, no deficiencies are being cited. An Advisory Note is being issued. An exit interview was conducted with Administrator Debbie Infield, and copy of this report was provided at the end of the visit.