Lantern Crest.

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Executive Director Liz Najera. The facility is Licensed to serve 180 residents ages 60 and above; 90 of whom may be non-ambulatory, approved for 20 bedridden residents; delayed egress approved for the first two floors. The facility also has a Hospice waiver for 20 residents. LPA accompanied by the Executive Director toured the interior and exterior of the facility and inspected a sample of occupied and unoccupied resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms visited contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. LPA toured the kitchens and respective dining areas. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. (Continued on LIC 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 (Continued from LIC 809) No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. Per Executive Director, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Executive Director Liz Najera, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

On January 28, 2026, the Department received a complaint alleging that the facility’s telephone service had been inoperable for approximately 2 to 3 weeks, leaving residents without a way to contact family or call 911 in case of an emergency. A facility tour revealed that the phones in residents’ rooms were in working order. An interview with Outside Source (OS1) indicated that the phone outage occurred in a building named The Ridge, identified as the Independent Living Facility (ILF), which is not state licensed but operates under the corporation’s umbrella. A review of the resident roster and facility tour confirmed that the residents affected by the phone outage reside in the ILF and are not under the jurisdiction of Community Care Licensing (CCL). Based on interviews with staff, residents, and outside sources, as well as a review of facility records and a facility tour, the above allegation was determined to be unfounded, and the complaint has been dismissed. An exit interview was conducted with ED Najera, to whom was provided a copy of the reports (LIC 9099) and Licensee Rights (LIC 9058). Signature below confirms receipt of these documents.

Title 22, California code of regulations, 87465 (h)(2) supports the facility’s position that it cannot discontinue medications without a physician’s order, even when hospital discharge instructions indicate such changes. Based on staff interviews and a review of facility and resident records the above mentioned allegation, due to lack of corroborating evidence, the finding was established to be unsubstantiated. There is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Resident Service Coordinator (RSD) Irma Sterling. A copy of this report along with Licensee Rights (LIC 9058 01/16) will be provided to RSD Sterling. Signature on this form confirms the documents were received.

Interviews conducted with facility staff and records reviews corroborated the RP statements (as mentioned above). Staff interviews and documentation reviewed during the visit did not reveal any evidence to support the allegations. Based on the information obtained, the allegations are Unsubstantiated. An Unsubstantiated finding means there was not a preponderance of evidence to prove the violations occurred. An exit interview was conducted with Resident Service Coordinator (RSD) Irma Sterling. A copy of this report along with Licensee Rights (LIC 9058 01/16) will be provided to RSD Sterling. Signature on this form confirms the documents were received. LPA left for approximately 2 hours for lunch break and other CCL related tasks.

Licensing Program Analyst (LPA) Debbie Correia visited the facility to conduct an annual required licensing inspection. LPA Correia was greeted by Concierge Diane Hom , and subsequently met Resident Service Director (RSD) Irma Sterling, identified herself and was granted entry into the facility, and explained the purpose of the visit. The facility is Licensed to serve 180 residents ages 60 and above; 90 of whom may be non-ambulatory, approved for 20 bedridden residents; delayed egress approved for the first two floor. The facility also has a Hospice waiver for 20 residents. The facility's current census is 134, consisting of 98 residents who reside in Assisted Living and 36 residents who reside in the Memory Care facility unit. During today's visit, LPA Correia, conducted resident records reviews. review of resident records was complete and current; including the following forms Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement. LPA also conducted a review of facility personnel facility records. were reviewed for First Aid/CPR certification, Criminal Record Clearance, TB clearance, and Health Screening Report, and proof of attendance to required training. Due to time restraints, Resident Service Director Irma Sterling was notified the remainder of the annual inspection will be completed at a later date. No deficiencies were cited during today’s initial Annual Inspection. An exit interview was conducted with ED Santana and a copy of this report, along with the Licensee Rights (LIC 9058 FAS 01/16) were provided via email. signature below confirms receipt of the reports.

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the continuation of the One-year annual Inspection. LPA Correia was greeted by the facility Concierge Diane How, introduced herself, and met with Executive Director (ED) Diana Santana. LPA, accompanied by ED Santana, conducted a facility tour, and inspected resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Required postings were observed. Resident bedrooms contained the required furnishings, a private bathroom, showers were equipped with non-skid flooring and grab bars. Doors, windows and screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. The facility was equipped with a back-up generator, a supply of emergency food, first-aid kit, and evacu-chairs at staircases. Medications were housed in a locked med-cart with-in a locked office. Cleaning supplies and other toxins were inaccessible to residents in care. There were no bodies of water on the facility property. The facility had ample space for activities as well as a theater. Per ED Santana, there are no firearms or other weapons on the facility premises. The facility had two (2) large communal dining areas, the facility has a commercial kitchen with a 7-day supply of non-perishable and 2 days of perishable food. The temperature of the walk-in refrigerator and freezer were with-in compliance per Title 22 regulation. The facility’s ambient internal temperature was compliant, at 71 F. The facility's hot water temperature for faucets used by residents measured at 105.1 and 111.2. LPA Correia left the facility at 1:00 p.m.to take a lunch and draft this report and returned at 2:15.p.m to deliver the report and obtain signatures. Based on today’s inspection, there are no deficiencies being cited. An exit interview was conducted and a copy of this report, and Licensee Rights - LIC 9058 (rev. 01/16) were be provided to ED Santana, whose signature on this form acknowledges receipt of these documents.

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the required One-Year Inspection. LPA Correia was greeted by the front lobby concierge Diane How, introduced herself and met with Memory Care Coordinator Angela St. Mars and explained the purpose of the visit. Shortly later Executive Director (ED) Diana Santana joined the inspection. Resident Service Coordinator (RSC) Naz Balagot also joined the inspection. The facility is licensed to serve 180 residents age 60 and above, 90 of whom may be non-ambulatory, 20 bedridden, and 20 residents who may be on hospice care. Resident records were reviewed for a current Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement, and personnel records were reviewed for First Aid/CPR certification, Criminal Record Clearance, TB clearance, and Health Screening Report, and required training. The facility carbon monoxide and smoke alarms were last inspected on January 20, 2024. The facilities liability insurance policy is current and set to renew on March 1, 2025. The facilities last disaster drill was conducted on March 22, 2024. The facility employs 3 (three) activities specialists and maintains a monthly activity calendar. The facility also employs a dietician that creates monthly menus however the residents are also provided an additional menu with an array of food to choose from if wanted. During today’s visit, LPA Correia conducted a partial interior tour of the facility, resident, staff, and facility records reviews. An overall inspection of the facility began today, however, due to time constraints LPA was unable to complete the visit and will return later time to conduct the remaining portion of this inspection. Based on today’s inspection, there are no deficiencies being cited. An exit interview was conducted and a copy of this report, and Licensee/Appeal Rights - LIC 9058 (rev. 01/16) will be provided to RSC Balagot, whose signature on this form acknowledges receipt of these documents.

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to observe the physical plant. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Kaan Ciftci On 12-06-2022, the Licensee submitted an LIC200 Application to the CCLD San Diego Regional Office (RO), requesting to increase the facility's total licensed capacity from 100 residents up to 180 residents, to increase the number of non-ambulatory residents from 90 to 160, and to increase the number of bedridden residents from ten (10) to twenty (20). The Licensee also submitted an updated facility sketch showing a building expansion. On 01-24-2023, the local fire authority approved/granted an updated fire clearance, reflecting the facility was approved for 180 residents in total, of which 160 may be non-ambulatory and twenty (20) may be bedridden. The bedridden residents may only reside on the facility's first floor (when oriented from the facility's Ridge Building). This same floor turns into / becomes the third floor of their Ridge Addition" building. The facility continues to be approved for delayed-egress doors on is first and second floors within its Ridge Building. During today’s visit, LPA toured the interior and exterior of the facility. The updated facility sketch/floor plan was consistent with the current layout of the facility. Per staff interviews and LPA's observation, only the facility's Ridge Building first floor hosted bedridden residents, consistent with the fire clearance. The Licensee displayed comprehension of the terms/stipulations of their new fire clearance. No deficiencies were observed or cited during today's visit. This portion of the application process has been completed. The Licensee will be sent an updated license to reflect the new fire clearance after CCLD management’s final review and approval. An exit interview was conducted with Ciftci, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.