Facility Evaluation Report

Licensing Program Analysts (LPA) Nadia Shahbazian and Michael Cava, conducted an unannounced Required One year inspection. LPAs met with Executive Director, Mary Jane Rodriguez and explained the reason for the visit. LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools.

The facility is licensed to serve a capacity of one hundred sixty (160) Non-Ambulatory residents, ages 60 and above, of whom thirty (30) may be bedridden. There are currently 118 residents, 91 residents residing in the assisted living portion of the facility and 27 residents in the memory care unit.

At 11:20 am, LPAs conducted a tour of the physical plant with the Executive Director and observed the following:

Facility consists of four floors. Screening/Reception area is located immediately upon entrance. Required postings were displayed at the reception area. The main door is the primary entry/exit access. In addition, the facility has four (4) exit doors on each floor. Facility provides dementia care; LPAs observed delayed egress doors in the memory care unit. Physical plant was inspected for cleanliness; LPAs observed the facility as clean, sanitary, and appropriately furnished.

Fire Detection/Protection system is present in the facility. Multiple dual smoke/carbon monoxide alarms are installed, hardwired, and interconnected throughout the facility. Multiple fire extinguishers were observed throughout the facility, on each floor. All fire extinguishers were serviced on 11/07/2024. Evacuation chair were observed atop stairwell on the fourth floor. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. Last emergency/disaster evacuation drill was conducted on 06/28/2025 and the last fire/earthquake drill was conducted on 06/28/2025. Last fire inspection was performed by Burbank Fire Department on 10/30/2024.