Webster House

On July 03, 2025, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Case Management - Annual Continuation visit. LPA met with the Executive Director (ED), Tim Selleck, and disclosed the purpose of the inspection. The visit was a continuation of the Annual inspection visit that occurred on 06/16/2025. LPA reviewed six (6) staff personnel records and five (5) resident records. The LPA observed that 5 of 5 residents had the Admission Agreement, Physician's Report, and Appraisal Needs and Services Plan. LPA observed that 6 of 6 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 6 of 6 staff members were associated with the facility. No deficiencies were cited during today's visit. An exit interview was conducted with the Executive Director. A copy of this report was provided to the Executive Director, Tim Selleck, whose signature on this form confirms receipt of the report.

On June 16, 2025, at 8:45 AM, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. LPA met with the Executive Director (ED), Tim Selleck, and disclosed the purpose of the inspection. The facility consisted of one building with six (6) levels and assisted living units on floors 1 to 5. The ED informed the LPA that the facility had 49 residents in care at the time. At 9:20 AM, LPA initiated a walk-through of the facility, accompanied by ED. LPA inspected randomly selected five (5) resident apartments. The apartments were found to be clean, well-lit, and equipped with the required furniture. LPA inspected the private bathrooms in random rooms. The bathrooms contained soap, grab bars, towels, a trash can, and non-slip flooring. The hot water temperature at the sink faucets measured between 108.4°F and 112.6°F. The apartments also contained private kitchen, washer, and dryer units. LPA inspected the main kitchen and found it clean. The refrigerator, freezer, and pantry cabinets were checked, and there was a sufficient supply of fresh perishable food for two (2) days and nonperishable staples for seven (7) days. No expired food items were found. Open food items were wrapped and dated. The dining room was inspected and was found to be clean, with all furniture in good repair. A four week dining menu and an alternate menu was available to residents. LPA inspected the fire extinguishers mounted on the hallway walls and found them fully charged, with the last service tag dated January 08, 2025. Continued on LIC809-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 fire alarm/smoke detectors are tested quarterly by a third-party vendor, CodeRed Communications Inc., with the last service completed on 04/02/2025. The fire sprinklers testing is performed quarterly by Nor-Cal fire protection Inc., with the last service completed on 05/21/2025. A staff member tested the carbon monoxide detector in one of the resident apartments in LPA’s presence, and it was found to be functional. LPA observed and inspected a locked centrally stored medication cart in the wellness center. Medications were organized separately for each resident. Narcotics were locked. All medication bottles and bubble packs were properly labeled. Centrally Stored Medication Records were reviewed and found to be complete. LPA inspected activity areas, library, media room, fitness center, outdoor garden, and other commons areas. Activity calendar was posted one month is advance for the residents. All common areas were free from obstructions, and hallways were well-lit. LPA toured the outside courtyard and patio areas and found passageways in good condition, free of obstructions, and without any blocking or tripping hazards. These areas had patio tables, chairs, and umbrellas for residents’ use. No accessible bodies of water or hazards were observed. LPA inspected the first aid kit and found it fully stocked. Emergency Drill Logs were reviewed, and it was observed that Emergency Disaster Drills were conducted quarterly, with the most recent drill completed on 05/14/2025. The HR director was out on unplanned bereavement leave and employee files inside the cabinet were locked. The keys were not available to access these staff files. ED stated they are going to have another set of keys available. The annual inspection will need to be continued at a later time. No deficiencies were cited during today's visit. An exit interview was conducted with the Executive Director. A copy of this report was provided to the Executive Director, Tim Selleck, whose signature on this form confirms receipt of the report.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Tim Selleck. The Case Management visit was in response to a Suspected Adult/Elderly Abuse form (SOC341) that the facility submitted to licensing alleging that staff S1 verbally abused resident R1. During visit, LPA Marrufo interviewed resident R1 as well as residents R2-R7. LPA Marrufo interviewed staff S1 and staff S2-S5, as well as Administrator Tim Selleck. LPA Marrufo obtained copies of R1's Admission Record, Physician's Report, and Appraisal/Needs and Services Plan. LPA Marrufo obtained copies of the Resident Roster, Staff Schedule, and Internal Investigation Report that the facility conducted in response to the incident, Training Certification Record for S1, and In-Service Training Record for Emergency Pendant Response Time dated 7/13/2022 for all staff. The Internal Investigation Report stated that the response plan for the facility will be to always have another staff accompany S1 when assisting R1. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Tim Selleck and a copy of the report was provided.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Ann Lee. During visit, LPA Marrufo toured the inside and outside of the facility. The facility entrance had a visitor screening area with thermometer. LPA Marrufo observed the visitor bathroom and observed there to be available soap, paper towels, hand washing sign, and trash bin with foot-operated lid. LPA Marrufo observed there to be a PPE supply of at least 30 days. LPA Marrufo observed the kitchen area and observed there to be a perishable food supply of at least 2 days and a non-perishable food supply of at least 7 days. No deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Ann Lee and a copy of the report was provided.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced COVID-19 Infection Control Required 1 Year visit and met with Administrator Linda Hibbs. During visit, LPA Marrufo toured the facility entrance and screening area, bathrooms, facility staff break area, dinning area, and hallways. Three out of three observed bathrooms did not have trash cans with foot operated lids. Facility staff were observed to have masks. Facility was observed to have an adequate supply of PPEs. A Technical Advisory Note was issued. See LIC9102 for more information. No deficiencies were cited as per California Code of Regulations, Title 22. This report was reviewed with Administrator Linda Hibbs and a copy of the report was provided.