Artesia Christian Home.

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Anne Walsh, executive director of the facility, and explained the purpose of the visit. There are eighty (80) residents in total residing in the assisted living and memory care portions of the facility. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of one hundred and forty-three (143) residents, ninety-five (95) of whom many be non-ambulatory, eight (8) of whom may be bedridden, and a hospice waiver approved for eight (8) residents. A request for fifteen (15) total hospice residents has been submitted to licensing, and will be updated. The facility consists of two campuses, one (1) for memory care and one (1) for assisted living. Assisted living is two (2) stories with 44 bedrooms, 2 communal showers, activity rooms, medication room, offices, a main kitchen, and a dining room. The memory care campus is a single-story building with 22 bedrooms with private bathrooms, activity room, kitchen, medication room and dining room. 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 For Assisted Living, LPA inspected three (3) rooms in the North Station, three (3) rooms in South Station, and three (3) resident rooms in the memory care building. All bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen, and the linen is in good condition. The bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, skid matt/strips and shower chair. All eleven (11) bathrooms tested had a hot water temperature measured between 105 – 120 degrees Fahrenheit. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has fully charged fire extinguishers kept throughout the facility. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by LA County Fire Department for one hundred and forty-three (143) residents, ninety-five (95) of whom many be non-ambulatory, eight (8) of whom may be bedridden, and a hospice waiver approved for eight (8) residents · Care and supervision to meet the clients’ needs was observed. Staffing: · Sixty-three (63) employees provide care and supervision to the clients. Personnel Records/Staff Training: · Five (5) staff files were reviewed for criminal background clearance and training. · All Five (5) staff records reviewed have a health screening with a Tuberculosis clearance, and five (5) staff have First Aid/CPR trainings that are active. · The administrator’s certificate expires on 2/22/2025. Resident Rights/Information: · Active Physician orders were reviewed for eight (8) residents. · Medications were also reviewed for eight (8) residents. 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 Resident Records/Incident Reports: · Six (6) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. Disaster Preparedness: · Emergency and Disaster Plan was in the facility. · The last emergency and disaster drill was conducted on 7/5/2025. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were observed. Exit interview held and a copy of the report will be emailed to the executive director.

Licensing Program Analyst (LPA) Nicol Wesley conducted a 24 hour case management inspection at the facility and met with Colleen Levi Director of Nursing, who accompanied me on a health and safety check on the first floor of the facility and shortly afterwards I met with Michelle Lehde LVN and we conducted a health and safety check on the second floor of the facility. The 24 hour inspection is a result of a Resident #1 alleging that Staff #1 touched her inappropriately. I obtained records for resident #1(ID Page, Medication log, Physician's report), and Staff #1. During the visit the LA Sheriff Department Officer Jimenez arrived #62953 #89 05/23/25. LPA Wesley did not observe any Health and Safety concerns at the facility. A copy of the LIC 809 was given during the exit interview.

Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced case management visit to follow up on the incident report submitted by the Executive Director Anne Walsh dated 09/25/24 regarding one of its resident and a Staff. LPA met with Director of Residential Services (DRS) Anne Walsh and explained the reason for the visit. During the course of the visit, LPA obtained a copy of the resident roster, staff roster and S1 trainings and write up. LPA interviewed the Director of Residential Services and a total of two staff, who shall be referred to as S1 and S2. LPA also interviewed resident #1 (R1). On 9/11/2024, S1 rolled R1 to a family members car for an appointment. When S1 helped R1 into the vehicle, S1 made an inappropriate comment to R1. There were also reports of inappropriate touching to which both S1 and R1 denied. The facility reprimanded S1 for the inappropriate comment. No citations were issued at this time. Additional follow up may occur. Anne Walsh was advised, and a copy of this report was sent via email due to printing issues.

Licensing Program Analyst (LPA) Christine Wong conducted the Unannounced required annual inspection. LPA arrived unannounced and met with Director of Residential Services Anne Walsh and assisted with the visit. The purpose for the visit was explained. The facility is approved to serve 40 ambulatory and 95 non-ambulatory, and 8 residents with bedridden, hospice waiver approved for 8. Currently there's about 8 residents on hospice and 7 residents on home health. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: 1. Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting residents. Staff are cleaning and disinfecting once a day and more often for high touched surfaces. Facility has sufficient PPE supplies and has an updated Infection Control Plan in place. LPA reviewed staff files and all staff has the update health screening and TB test result in file. 2, Operational Requirement: The current plan of operation is completed. The facility has a Dementia Waiver in place. A Hospice Waiver for 8 residents is approved. A fire clearance approved for 40 ambulatory, 95 non-ambulatory and 8 residents with bedridden Currently there's probably one resident is bedridden. Liability Insurance in the amount of at least ($1,000,000) per occurrence and total amount of aggregate ($3,000,000) is in place. 3. Physical Plant and Environmental Safety: The facility consists of two campuses, (1) for memory care and (1) for assisted living. Assisted living is two (2) stories with 44 bedrooms, 2 communal showers, activity rooms, medication room, offices, salons, Kitchen, and a dinning room. The memory care campus is a single-story building with 22 bedrooms with private bathrooms, salons, activity room, kitchen, medication room and dining room. For Assisted Living, LPA inspected two rooms in North Station with Room# 118 and #112 and three rooms in South Station with Room#201, #216 and #142. The resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen, and the linen is in good condition. The bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, skid matt/strips and shower chair. The temperature measured at 110.1 and 119.5 degrees F which is within the Title 22 regulation. 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 For Memory Care unit, LPA inspected East Wing with Room# #303, #305 and West Wing with Room#329 and all the resident rooms have the required furniture and beddings. The resident bathrooms are clean, sanitary and in a good working condition and with required grab bar and non-skid mat. The hot water temperature tested in these residents' rooms are around 105 degrees F which is within the Tittle 22 regulation. The smoke detectors were tested and observed to be working properly. The carbon monoxide detector was tested and functioning properly. There were fire extinguishers located throughout the facility, fully charged and up to date. The outdoor grounds were toured and inspected, and the patio was well maintained with a shaded seating area accessible for residents to use. 4. Staffing: The facility has sufficient staffing in the facility. Each shift, the facility staff has at least one staff is having the updated First Aid/CPR Certificate in file. 5. Personal Record-Training: LPA reviewed eight (8) Staff file sand they are all over 18 years old, background check /fingerprint cleared and associated with the facility and they all have the required documents included: employee application, required training hours , health screening and TB test result in file. LPA reviewed the Director of Residential Services and her administrator certificate was expired on 2/23/24 but currently her application is pending with the CCL system 6. Resident's Right Information: LPA observed the required posters posted in the facility Assisted Living side which include Long Term Care Ombudsman, Licensing Complaint Poster and Resident Right Poster are located near the resident's mail box near the facility main entrance area. For the memory care unit, all the required posters are located near the reception area near the West Wing. The residents also have internet service for at least one internet access device for residents to communicate with their family members or physician. 7. Planned Activity: Facility has sufficient space to accommodate for indoor and outdoor activity. LPA also observed the weekly activity calendar and it's posted in the facility both Assisted Living side and Memory Care unit. The facility does have an active Resident Council. 8. Food Services: Currently the facility has about 5 residents on soft food and 1 resident on puree food who are required the modified diet and they are all in Memory Care Unit and LPA reviewed and observed the doctor's order. The facility has ample supply for two days perishable and seven days non-perishable food supply. The facility also has emergency food supplies and water located on both Assisted Living and Memory Care Unit. All the food are stored properly. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked. Walls and floors, cabinets and counters were clean and sanitary throughout the facility. LPA also reviewed and observed the dietary director handling certificate and it will be effective through year 2028. 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 8. Food Services: Currently the facility has about 5 residents on soft food and 1 resident on puree food who are required the modified diet and they are all in Memory Care Unit and LPA reviewed and observed the doctor's order. The facility has ample supply for two days perishable and seven days non-perishable food supply. The facility also has emergency food supplies and water located on both Assisted Living and Memory Care Unit. All the food are stored properly. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked. Walls and floors, cabinets and counters were clean and sanitary throughout the facility. LPA also reviewed and observed the dietary director handling certificate and it will be effective through year 2028. 9. Incidental Medical and Dental: The facility would assist resident to arrange dental and doctor appointment and transportation if needed. LPA inspected Eight (8) resident's medication and they are all centrally stored in the Wellness Office and they seemed accurate and update and with 30 days supply of medication. 10. Disaster Preparedness: The facility has an updated LIC610E (Emergency Disaster Plan) in file and they reviewed annually. The last fire drill was conducted on 7/13/24 for Assisted Living and 7/15/24 for Memory Care Unit. The facility also has two appropriate shelter location for emergency. Records of resident Appraisal and Needs services plans are part of Emergency training. 11. Resident's Records-Incident Reports: LPA inspected 8 residents' files including Assisted Living and Memory Care Unit. All resident's files have the required documents which include Face Sheet, Pre-Admission Appraisal, Needs and Service Plan, Physician Report, Medical Consent form, TB Test Result, Admission Agreement, Ambulatory Status and Medication Record. 12. Residents with Special Health Needs: Eight (8) residents are receiving hospice services. Seven (7) residents receive home health services. No resident in the facility is on any postural support. Half bed rails for mobility assistance were observed in some resident rooms in Memory Care Unit. Individual Service Plans and Appraisals are on file. No residents have prohibited health conditions. No deficiencies were observed during the visit Exit Interview conducted and a copy of the report was provided to the Director of Residential Services.

On 10/5/2023 Licensing Programming Analyst (LPA) Jewel Baptiste conducted an unannounced annual continuation inspection. Upon arrival LPA was greeted by the receptionist. LPA then met with Wellness Coordinator Michelle Lehde and explained the reason for the visit. LPA also discussed the visit with Executive Director Michelle Robison. During the visit LPA inspected a total of five (5) resident files and five (5) staff files on both campuses. LPA also checked total of five (5) resident’s medications during the visit. There were no deficiencies cited during the visit. Exit interview conducted with Michelle Robison, Michelle Lehde, and Alma Corral.

On 8/14/23 at 9:15 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Artesia Christian Home. Upon arrival LPA was greeted by Director of Residential Services Anne Walsh and explained the reason for the visit. This facility is licensed to serve 115 residents age 60 and over with non-ambulatory capacity of 75. During today's visit LPA inspected the assisted living and memory care campus, reviewed the food supply, tested the smoke/carbon monoxide detectors, interviewed (5) staff, and interviewed (10) resident. The facility consists of two campuses, (1) for memory care and (1) for assisted living. Assisted living is two (2) stories with 44 bedrooms, 2 communal showers, activity rooms, medication room, offices, salons, Kitchen, and a dinning room. The memory care campus is a single-story building with 22 bedrooms with private bathrooms, salons, activity room, kitchen, medication room and dining room. The resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen, and the linen is in good condition. The bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, skid matt/strips and shower chair. The temperature measured at 105 *F- 118.5*F. The smoke detectors were tested and observed to be working properly. The carbon monoxide detector was tested and functioning properly. There were fire extinguishers located throughout the facility, fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked. The pantry was well stocked, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines. Walls and floors, cabinets and counters were clean and sanitary throughout the facility. LPA observed ample amount of PPE supplies in multiple storage rooms. (Report continued on LIC809C.) The outdoor grounds were toured and inspected, and the patio was well maintained with a shaded seating area accessible for client use. Upon return LPA will review medications, review staff and resident files, review staff training, and finalize care tools. Exit interview conducted with Anne Walsh, Director of Residential Services, a copy of this report was provided.