Facility Evaluation Report

At around 9:00am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with Executive Director, Soledad Martinez. This facility is a Continuing Care Retirement Community (CCRC). The facility provides independent, assisted living and memory care.

LPA with Soledad inspected the following: total of 8 rooms in independent living, assisted living and memory care, kitchen, dining area, activity room and other common areas. All showers/bathrooms were observed with grab bars and non-skid floors. Multiple fire extinguishers were observed in different locations that appear full and were inspected on 1/23/2024. LPA observed sufficient supply of perishable and non perishable foods. Hot water temperature measured at 118 degrees Fahrenheit in different rooms checked. Memory Care unit has a delayed egress system that was observed functional. Maintenance log for facility generator indicates last weekly inspection was conducted on 2/27/2024 and last monthly test was done on 2/27/2024. Facility has a current disaster plan and supplemental emergency disaster plan dated 1/08/2024. First aid kit was observed complete. Last disaster drill was conducted on 2/21/2024 and 2/23/2024 (lasted two days).

LPA inspected the Wollenberg Building which has 20 Memory Care residents, and Pavillion Building which consist of 4 Memory care residents. Five residents and 4 staff were interviewed. LPA reviewed 4 staff and 8 resident files.

LPA reviewed 4 staff files 4 out of 4 staffs have health clearance on files.

No deficiencies were observed in the areas that were evaluated. No citations were issued during today’s inspection.

Exit interview conducted and a copy of this report provided via email to Executive Director.