Sequoias-portola Valley, the

On 11/21/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to continue the 1-year required Annual Inspection. LPA Calandra was greeted by Pam Marron, Director of Residential Services and explained the purpose of the visit. Amanda Martinez, Nurse Manager arrived later during the visit. LPA toured the physical plant. This facility has 30 buildings on the campus(2 of which are memory care and Assisted Living). The facility has a bowling green, spa/pool, putting green, Health Center, Dining room, Skilled Nursing Facility(not licensed by the Department), and Library. LPA inspected random rooms in Memory Care(The Gardens) and Assisted Living(The Lodge). All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed. All bathrooms inspected had slip resistant flooring and grab bars in the showers. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last inspected on 4/7/2025. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired. All sharp objects, soap, poisons and medications were observed to be locked and in-accessible to persons in care. LPA received the following documents: Current LIC 500, Administrators Certificates, Emergency Operations Plan A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy provided.

On 5/1/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a case management visit follow up on an incident reported to the Department on 4/24/2025 regarding a resident who slipped and fell in their room and injured themselves. LPA Calandra was greeted by David Nelson, Clinic Manager and explained the purpose of visit. Through document review and interview, LPA learned that R1 who lives in independent living fell on 4/17/2025 and injured themselves. R1 contacted a family member who contacted the facility to inform them of the fall and staff responded promptly. Community Care Licensing Division(CCLD)/California Department of Social Services(DSS) does not provide oversight into the independent living portion of the facility. During the visit LPA reviewed and obtained copies of the following documents: - R1's physician report -R1's Appraisal of Needs and Services No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with David Nelson, Clinic Manager and a copy of the report left at the facility.

On 3/7/2025, Licensing Program Analysts(LPAs) John Calandra and Yi Sam Jian, arrived at the facility to conduct a Case Management visit in regards to a self-reported incident report received by the Department on 2/25/2025, regarding a resident who sustained multiple fractures. LPAs were greeted by David Nelson, Director of Clinical Services. LPAs received copies of the following documents: - Care notes for R1 - LIC 602: Physician's Report for R1 - Service Plan for R1 - Admissions Agreement No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with David Nelson, Director of Clinical Services and a copy of the report provided.

On 11/25/2024, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Clinic Manager David Nelson, Linda West and Gloria Heimlich. LPA explained the purpose of the visit. LPA toured the facility inside and outside including a random sample of resident rooms, common areas, and kitchen area. Kitchen is located in the independent living building. Food is delivered in assisted living and memory care building. LPA observed residents engaged in different activities. Hot water temperatures were tested at 106 degF. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Facility has sprinkler system. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair. Bathrooms are equipped with grab bars and non-skid floors. There is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Eight resident records and eight staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete. Facility accepts hospice residents and are in compliance with the required waiver requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. LPA requested the following documents: LIC500 Personnel Report & Liability Insurance. No deficiencies are cited at this time. Report is reviewed and a copy is provided.