Granvida Senior Living and Memory Care.

At 11:30am on 02/13/2026, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct a case management visit based on a cross report SOC341 from the facility dated 02/12/2026, alleging that a Staff (S1) struck a resident (R1) in the arm. LPA met with Community Business Director, Delilah Kelly (CBD), announced who he is and the reason for the visit. CBD and LPA contacted Administrator, Nithi Narasappa by phone and informed her of the reason for the visit, and verified that CBD was authorized to sign this report. LPA conducted interviews of staff and noted that the facility internal investigation is currently on going and S1 is currently on unpaid administrative leave pending completion of the internal investigation. LPA collected the current copies of the partial internal investigation that included pictures of R1. LPA additionally, requested documentation of S1 training and background clearance, Resident Appraisals Needs and Serviced Plan, Pre admissions appraisal, physicians report (LIC602) and family contact information. LPA also requested a facility staff contact information and a staff schedule for February 2026. LPA may request more documentation and conduct interviews as needed. Exit interview, report read, and report provided.

At 8:00am on 07/15/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Interim Administrator, Nithi Narasappa, announced who he is and the reason for the visit. Administrator and LPA conducted a physical tour of the facility. This facility has seventy resident rooms, fifty five assisted living rooms have their own on suite bathrooms and fifteen memory care rooms have shared bathrooms. There are two outdoor patios with shading and seating for activities and visitors. Two dining areas, one large facility dining and a smaller privet dining room. The main lobby has additional room for indoor activities, there is a gym, arts and crafts room, and a television room for residents. LPA conducted a physical inspection of sample rooms and noted all rooms have licensing required furniture and linin. LPA noted that fire extinguishers are placed throughout the facility all primed and in the green that were inspected. LPA noted that Low Voltage Solutions Inc. conducted an annual fire inspection on 10/29/2024 indicating visual and functional test as normal. LPA noted that the facility is clean and in good repair with all exits and hallways free of obstruction. LPA noted that the kitchen has at least two days of perishable and at least 7 days of non perishable foods on hand for 83 resident and staff. LPA noted and tested assorted water temperatures throughout the facility to be within regulation requirements. LPA reviewed Emergency Disaster Plan, Infection Control Plan, sample staff and resident files. LPA verified all facility personnel have background clearances. LPA noted no violations or citations were issued as a result of the facility physical inspection. Administrator and LPA conducted a full review of annual care tools. LPA noted that there were no violations or citations on the annual control tools. LPA note that no citations issued as a result of full annual inspection. Exit interview, report read, and report provided.

On 07/26/2024 Licensing Program Analyst (LPA) Brian Phillips arrived at the facility unannounced for an unscheduled visit to conduct a required annual facility site inspection visit at the facility above. When the LPA arrived, they were greeted by Administrator Eric Terrill and informed them of the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. This is a Residential Care Facility for the Elderly (RCFE) with an approved Fire Clearance for 83 residents. The age range in the facility is 60 years of age and older. The facility is approved for 83 non-ambulatory residents, of which 3 residents can be bedridden. KITCHEN: The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in the kitchen are inaccessible to residents. Kitchen appliances were in operable condition and looked clean/in good repair. The LPA observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last 7 days. Additional perishable food items were maintained on a shelf and/or an extra freezer. The hot water temperature was measured in the kitchen at an appropriate temperature as per the regulation. Heating devices such as stoves are inaccessible to residents, as are sharps/other items that could constitute a danger to residents. The kitchen was clean and sanitary, with covered trash cans and operating ventilation systems. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. The freezer and refrigerator were both in the appropriate temperate Fahrenheit. There is enough tableware and utensils for all residents living in the facility, and enough equipment for the storage, preparation, and service of food. COMMON AREAS: At the time of the visit, living room and dining room were observed to be appropriately furnished, with all furniture in good condition. There is a fireplace in the living room, which is covered and inaccessible. The facility maintained a comfortable temperature. Continued on 809-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 Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced annually. The LPA observed required postings throughout the common space including Resident Personal Rights and Resident Council Rights. There are activity supplies and equipment, including reading materials for the residents. There is a piano in the living room of the facility in good repair and operating condition, which was being played at the time of the inspection. There is a "Movie Theater" room for residents to gather and watch movies together. All window screens were in good repair. There is appropriate lighting in the common areas of the facility. All passageways through the common areas of the facility were free of obstruction, and all stairways are well-lit with sturdy hand railings/stair chair accessibility devices. As the facility has more than 16 residents and is multiple stories, there is a signal system in place which was functional at the time of the inspection by the LPA. OUTSIDE/LAUNDRY/MISCELLANEOUS: The facility has outdoor activity spaces, and is enclosed by a fence with self-closing latches and/or gates or walls. There are 2 side gates from the facility which are delayed egress self-closing. Auditory devices are in place to monitor exits, if exiting presents a hazard to any resident. There are also 5 areas of the facility monitored by video surveillance cameras including the main front door, Delivery door, dining patio, and both delayed egress self-closing gates. Outdoor activity spaces and the dining patio for residents are equipped with furniture for resident use. All outdoor areas with stairways, inclines, ramps, or open porches have accessibility ramps for residents, are well-lit, and have hand railings/grab bars. There were no bodies of water noted. This is a facility with over 16 residents, therefore there is a designated laundry room where cleaning products are stored, which is kept locked. The laundry room is accessible through a staff only section of the facility down the stairs from the common areas of the facility. There was emergency food and water in a storage room/area which was observed to be in good condition. Cleaning supplies, disinfectants, and other items that could pose a danger to residents are kept in areas inaccessible to residents. There is a first aid kit that includes sterile dressings, bandages, thermometers, scissors, tweezers, and a first aid manual. The vehicles used to transport residents are in safe operating condition with appropriate insurance information. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There are 70 designated resident rooms in the facility, differing between shared units with 2 beds per room, and individual units with 1 bed per room. Each closet in all the resident rooms has extra pillows, clean/fresh linens, and appropriate incontinence materials if applicable for any resident. Continued on 809-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 The resident bedrooms are big enough for all beds, furniture, and any resident assisting device such as a wheelchair or a walker. Each room has at the least a chair, night stand, chest of drawers, and sufficient lighting. The mattresses and pillows in each resident room are flame retardant, and if applicable, resident rooms with security measures on windows have at least one window with an approved safety release to allow emergency evacuation. RESTROOMS: The facility restrooms were sanitized and in operating condition while the LPA toured the facility. There are non-private restrooms in the common areas of the facility as well as private restrooms in the resident’s bedrooms. All restrooms inspected had assisting equipment for residents including grab bars and/or non-skid surfaces. The bathrooms were sufficiently stocked with soap, paper towels, and additional supplies; towels and washcloths are not shared. The hot water temperature was measured in the restrooms at the appropriate degrees Fahrenheit as per the regulations. There is at least 1 toilet and sink for each 6 residents, and at least 1 bathtub/shower for each 10 residents. Nightlights are installed in the hallways outside of the common area restrooms. RECORDS: The facility keeps confidential storage of personnel records and resident records on-site at the facility. Personnel records reviews were reviewed for, but not limited to LIC 501 personnel records, LIC 503 health assessments with Tuberculosis (TB) test results, Personnel Action Notice, Job Description with date of employment, LIC 9052 Employee Rights, LIC 508 criminal record Statements, criminal record clearances, first aid/CPR certification that is not expired, and the appropriate training. All staff member personnel records had appropriate documentation with no expired training. The administrator has an active administrator certificate that expires 01/26/2024. Resident records were reviewed for LIC 603 Pre-Admission/Placement appraisals, LIC 602 Physicians Reports, Consent Forms, Personal Rights for Residents, LIC 601 Emergency Information, LIC605A Release of Medical Information, PRN Authorization, Needs and Services Plan (ANS), Resident Assessments, Mini-Mental State Exam (MMSE) for residents with dementia, Self-management of medications if applicable, Medication Orders, Medication Logs, Advance Directives, Conservatorship Documentation, and Physician Orders for Life-Sustaining Treatment (POLST). All resident records reviewed by the LPA had the appropriate documentation with no missing or incomplete information. MEDICATIONS: The facility maintains a locked centralized storage area for resident medications on 2 separate floors. There is a locked room upstairs on the 2nd floor for the residents of the facility not in the memory care unit. This locked room is entered by electronic numerical password. Inside the room there is a locked cart with the centrally stored medications for residents. Continued on 809-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 The cart itself is also locked, within the medication cart there is a drawer for narcotic medications that is also locked for extra safety. The memory care unit has the exact same structure, but maintains a locked centralized storage area for memory care resident medications on the 1st floor memory care unit. The LPA observed the centrally stored medications as well as the Centrally Stored Medication and Destruction Record for both areas. INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening and a sanitation station. The staff members will keep up signs that promote good hand hygiene and symptoms of COVID. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate, with a current Infection Control Plan in place signed by the administrator. FACILITY DOCUMENTATION: There are required postings throughout the facility, including emergency exiting plans with necessary tele

On 07/24/2023 Licensing Program Analyst (LPA) Brian Phillips arrived at the facility announced for a scheduled visit to conduct a required Pre-licensing facility site inspection visit at GranVida Senior Living and Memory Care due to a change of ownership. When the LPA arrived, there were 43 residents currently in care. The LPA was greeted by Administrator Eric Terrill and informed them of the reason for the visit. This is a Pre-Licensing inspection visit to a currently operating facility due to a change in ownership. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in the kitchen are inaccessible to residents. Kitchen appliances were in operable condition and looked clean/in good repair. The LPA observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last 7 days. Additional perishable food items were maintained on a shelf and/or an extra freezer. The hot water temperature was measured in the kitchen at an appropriate temperature as per the regulation. Heating devices such as stoves are inaccessible to residents, as are sharps/other items that could constitute a danger to residents. The kitchen was clean and sanitary, with covered trash cans and operating ventilation systems. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. The freezer and refrigerator were both in the appropriate temperate Fahrenheit. There is enough tableware and utensils for all residents living in the facility, and enough equipment for the storage, preparation, and service of food. Continued on 809-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 COMMON AREAS: At the time of the visit, living room and dining room were observed to be appropriately furnished, with all furniture in good condition. There is a fireplace in the living room, which is covered and inaccessible. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced February 2023. The LPA observed required postings throughout the common space including Resident Personal Rights and Resident Council Rights. There are activity supplies and equipment, including reading materials for the residents. There is a piano in the living room of the facility in good repair and operating condition, which was being played at the time of the inspection. There is a "Movie Theater" room for residents to gather and watch movies together. All window screens were in good repair. There is appropriate lighting in the common areas of the facility. All passageways through the common areas of the facility were free of obstruction, and all stairways are well-lit with sturdy hand railings/stair chair accessibility devices. As the facility has more than 16 residents and is multiple stories, there is a signal system in place which was functional at the time of the inspection by the LPA. OUTSIDE/LAUNDRY/MISCELLANEOUS: The facility has outdoor activity spaces, and is enclosed by a fence with self-closing latches and/or gates or walls. There are 2 side gates from the facility which are delayed egress self-closing. Auditory devices are in place to monitor exits, if exiting presents a hazard to any resident. There are also 5 areas of the facility monitored by video surveillance cameras including the main front door, Delivery door, dining patio, and both delayed egress self-closing gates. Outdoor activity spaces and the dining patio for residents are equipped with furniture for resident use. All outdoor areas with stairways, inclines, ramps, or open porches have accessibility ramps for residents, are well-lit, and have hand railings/grab bars. There were no bodies of water noted. This is a facility with over 16 residents, therefore there is a designated laundry room where cleaning products are stored, which is kept locked. The laundry room is accessible through a staff only section of the facility down the stairs from the common areas of the facility. There was emergency food and water in a storage room/area which was observed to be in good condition. Cleaning supplies, disinfectants, and other items that could pose a danger to residents are kept in areas inaccessible to residents. There is a first aid kit that includes sterile dressings, bandages, thermometers, scissors, tweezers, and a first aid manual. The vehicles used to transport residents are in safe operating condition with appropriate insurance information. Continued on 809-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 BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There are 70 designated resident rooms in the facility, differing between shared units with 2 beds per room, and individual units with 1 bed per room. Each closet in all the resident rooms has extra pillows, clean/fresh linens, and appropriate incontinence materials if applicable for any resident. The resident bedrooms are big enough for all beds, furniture, and any resident assisting device such as a wheelchair or a walker. Each room has at the least a chair, night stand, chest of drawers, and sufficient lighting. The mattresses and pillows in each resident room are flame retardant, and if applicable, resident rooms with security measures on windows have at least one window with an approved safety release to allow emergency evacuation. RESTROOMS: The facility restrooms were sanitized and in operating condition while the LPA toured the facility. There are non-private restrooms in the common areas of the facility as well as private restrooms in the resident’s bedrooms. All restrooms inspected had assisting equipment for residents including grab bars and/or non-skid surfaces. The bathrooms were sufficiently stocked with soap, paper towels, and additional supplies; towels and washcloths are not shared. The hot water temperature was measured in the restrooms at the appropriate degrees Fahrenheit as per the regulations. There is at least 1 toilet and sink for each 6 residents, and at least 1 bathtub/shower for each 10 residents. Nightlights are installed in the hallways outside of the common area restrooms. RECORDS: The facility keeps confidential storage of personnel records and resident records on-site at the facility. Personnel records reviews were reviewed for, but not limited to LIC 501 personnel records, LIC 503 health assessments with Tuberculosis (TB) test results, Personnel Action Notice, Job Description with date of employment, LIC 9052 Employee Rights, LIC 508 criminal record Statements, criminal record clearances, first aid/CPR certification that is not expired, and the appropriate training. All staff member personnel records had the appropriate documentation with no expiration of any training. Resident records were reviewed for LIC 603 Pre-Admission/Placement appraisals, LIC 602 Physicians Reports, Consent Forms, Personal Rights for Residents, LIC 601 Emergency Information, LIC605A Release of Medical Information, PRN Authorization, Needs and Services Plan (ANS), Resident Assessments, Mini-Mental State Exam (MMSE) for residents with dementia, Self-management of medications if applicable, Medication Orders, Medication Logs, Advance Directives, Conservatorship Documentation, and Physician Orders for Life-Sustaining Treatment (POLST). All resident records reviewed by the LPA had the appropriate documentation with no missing or incomplete information. Continued on 809-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 MEDICATIONS: The facility maintains a locked centralized storage area for resident medications on 2 separate floors. There is a locked room upstairs on the 2nd floor for the residents of the facility not in the memory care unit. This locked room is entered by electronic numerical password. Inside the room there is a locked cart with the centrally stored medications for residents. The cart itself is also locked, within the medication cart there is a drawer for narcotic medications that is also locked for extra safety. The memory care unit has the exact same structure, but maintains a locked centralized storage area for memory care resident medications on the 1st floor memory care unit. The LPA observed the centrally stored medications as well as the Centrally Stored Medication and Destruction Record for both areas. INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening and a sanitation station. The staff members will keep up signs that promote good hand hygiene and symptoms of COVID. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate, with a current Infection Control Plan in place signed by the administrator. FACILITY DOCUMENTATION: There are required postings throughout the facility, including emergency exiting plans with necessary telephone numbers. The facility keeps hard copies of the LIC 200 Application for an RCFE, LIC 215 Applicant Information LIC 308, LIC

Component II completion: Successful Facility Type: RCFE Application Type:CHOW Capacity:83 Census (if any clients in care): COMP II Participants: Eric Terrill Administrator, Mike Shetler licensee Interview Method: Virtual interview (Teams) On 5/30/23, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readiness.