Facility Evaluation Report

On 08/26/2025 around 09:45 AM, Licensing Program Analysts (LPAs) L. Holmes and L. Alexander arrived unannounced for a required annual inspection. LPAs met with Annemarie Domizio, Executive Director (ED) and Maureen Lee, Memory Care Director (S2), and explained the purpose of the visit. ED was not available due to the activities taking place a the facility. The facility’s fire clearance was approved for one hundred twenty (120) non-ambulatory residents; ten (10) may be bedridden, and ten (10) hospice.

Upon arrival, LPAs observed multiple staff organizing a residential Hawaiian Luau, the receptionist was attending to several residents and guest visiting in the facility. LPA L. Alexander toured the facility S2. The areas included but were not limited to the common areas, dining room, bathroom, kitchen, med tech room, fitness center and courtyards. The facility consists of individual apartments housed by the residents and has a monitored floor for memory care. All outdoor and indoor passageways were free of obstruction. There were no bodies of water present. A comfortable temperature was maintained at 74 degrees Fahrenheit (F). LPA observed lighting in all areas to be adequate for the comfort and safety of the residents. The hot water temperature in four different rooms measured at 108 to 120 degrees (F). The shared restroom had paper towels, soap and garbage cans; all areas were safe and sanitary. PPE, sanitizer, and paper goods remain sufficient. There was a 2-day supply of perishable foods and a 7-day supply of non-perishable foods.