Facility Evaluation Report

On 04/10/2025 at 09:50 AM, Licensing Program Analysts (LPAs) Ardalan Gharachorloo and David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Executive Director Ric Pielstick and explained the purpose of the visit.

LPAs toured the facility including but not limited to 5 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees F. The hot water temperature was measured at 115 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxins are locked and inaccessible to residents in care.

The following reports were reviewed: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/25/2024. Emergency Disaster Plan was last posted on 12/26/2024. Emergency disaster drill was last conducted on 02/19/2025. First aid kit was observed to be complete.

LPAs reviewed 5 residents records and 5 staff records, and all were complete. Nurses and MedTech are all CPR/AED/1st Aid certified, with at least 5 on duty per shift.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.