Facility Evaluation Report

On 03/03/2026, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with Executive Director (ED) Loreen Hickman and explained the purpose of the visit. The current census is 34.

LPA Lee inspected the physical plant including but not limited to the common areas, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room, facility storage, staff office, activity rooms and medication room to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. LPA Lee inspected nine residents’ toilets and observed that all were in good repair and functioning properly. Hot water temperature was measured in two residents’ bathroom sink and was at 112.4 and 116.1 degrees Fahrenheit which is within the required regulation of 105 to 120 degrees Fahrenheit. The laundry room was also toured. LPA Lee observed residents’ clothing labeled with their initials. Resident bedding and sheets were observed folded and bagged, ready to be delivered to residents after washing and drying. The laundry area was organized, with a system in place for processing residents’ laundry. An area designated for residents’ lost items was also observed. LPA observed facility’s activity calendar posted and sufficient equipment and supplies to meet activity program needs of residents in care. LPA Lee also observed five residents participating in the activity for the day.

LPA Lee toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. The facility’s exhaust hood was last serviced on 03/21/2025. The smoke and carbon monoxide detectors are in compliance with fire safety.