Facility Evaluation Report

On 07/03/2024 around 10:00 AM, Licensing Program Analysts (LPA) L. Holmes and L. Alexander arrived announced to conduct a required annual inspection. LPAs met with Jesus Gonzalez, Executive Director and explained the purpose of the visit. The facility’s fire clearance was approved for 225 non-ambulatory, 50 may be bedridden and 20 are approved for hospice waivers.

Upon entry and during the visit, residents were lounging in the facility including but not limited to the common areas, bistro, dining area and courtyard area. Residents reside in individual apartments and the facility's room temperature was measured at 70 degrees Fahrenheit (F). The hot water temperature was 112 degrees F; there are censored faucets in the residents' shared bathrooms. The facility has a central medication room that remains locked. First Aid kits were stored throughout the facility. Smoke/carbon monoxide detectors are combined with sprinkler system. Fire extinguisher was last serviced on 04/05/2025. Fire drills are performed monthly and an annual evacuation is performed in conjunction with the local police department. Lunch was served while at the facility. There was adequate lighting throughout the facility. Indoor and outdoor passages were free of obstruction. Emergency Disaster Drill was conducted on 06/12/2025.

LPA reviewed seven (7) resident records and 5 staff records including admission agreements and clinical files.