Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced continuation of the required One Year inspection, dated 07/17/2025. LPA met with Executive Director, Mary Jane Rodriguez and explained the reason for the visit. Current census is 117 residents, 90 residents residing in the Assisted Living portion of the facility and 27 residents in the Memory Care unit.

During today's visit, LPA toured the first floor Memory Care area with the Executive Director. The tour of the other second, third and fourth floors was conducted on 07/17/2025.

Bedrooms: LPAs toured multiple resident bedrooms on all four floors, randomly. Except for three shared apartments in the Memory Care area, all bedrooms are private. The bedrooms were inspected and observed to maintain required furnishings and sufficient lightings. Administrator mentioned that some of the residents have brought their own furniture, based on their own taste. LPA inspected the bedroom walls, floors, furniture and bed linens for cleanliness. All bedrooms were observed to be clean, sanitary and clear of obstructions. In room numbers 119, 201, 311 and 408, LPAs pulled the assistance cord; caregiver responded within 2-3 minutes.

Bathrooms: There are nine (9) public restrooms, scattered on the four floors of the facility, which are designated for residents', visitors' and staff use. All bedrooms have their own private bathrooms. All the bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, non-slip mats). Hot water temperature measured between 105.9° F. and 117.6° F; within the required range. At bathroom# 123 and 408, LPA pulled the assistance cord; caregivers responded within 2 minutes.