Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced site inspection for the expansion of dementia unit on the 2 nd floor at the facility. LPA met with Administrator, Pamela Parsons, and Chief operations officer , David Chirikian .

The capacity remained the same as 200 residents which included 175 non-ambulatory and 25 bedridden, ages 60 and above. The facility had approved twenty-three (23) Hospice Waivers and approved dementia wing on the first floor which has delayed egress that consisted of 11 rooms. Facility has an approved Dementia Care Plan in their plan of operation to accept residents with dementia.

Fire clearance is granted for 200 residents which included 175 non-ambulatory and 25 bedridden on 03/20/24.

The facility is located in a residential neighborhood, consists of three floors/levels and has 186 resident bedrooms and bathrooms. Resident bedrooms, memory care unit, recreation/activity rooms, beauty shop, storage rooms, employee lounge, library and laundry rooms are located at the lower level. Reception/lounge area, resident bedrooms, dining room, kitchen, multiple offices, recreation/activity rooms and laundry room are located at main level. Upper level consists of resident bedrooms, nurse's office, penthouse, recreation/activity rooms and laundry room. Today’s visit is regarding the new expansion of the dementia unit on the 2 nd floor. This unit included 11 residents’ rooms and one dining room with delayed egress. (- continued LIC 809 C -)