Facility Evaluation Report

Licensing Program Analysts (LPAs) Alberto Lopez, Elena Mallett, and Sakinah Madyun conducted an unannounced annual inspection visit. LPA met with Maria Vasquez, Nursing Manager who assisted with the visit. The facility was licensed to serve one hundred & twelve (112) non-ambulatory residents, ages 60 and above. The facility had an approved five (5) hospice waivers. Administrator certificate was current with expiration date on 09/12/2025. Currently there are 56 residents.

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents and medications. Disposals of trash are done immediately after changing a resident. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and have an infection Control Plan at facility.

Operational Requirements: The facility does accepts patients with dementia There 0 bedridden residents residing at the facility. The facility has the sufficient amount of liability insurance covering injury to residents and guest.

Physical Plant & Environment Safety: The facility is located in a residential neighborhood, consists of three (3) buildings with fifty-six (56) resident apartments. The facility has six (6) administrative offices, a reception area/lobby, beauty salon, wellness center, three (3) libraries, coffee/reading room, hospitality room, dining room, kitchen, mail room, communication room, activity /game room/painting/card making room, general store, housekeeping storage room, computer lab, nurses station, bingo room, exam room, staff lounge, and recovery room. There are multiple storage closets/rooms and an indoor/ outdoor activity area. The facility has fifteen (15) public restrooms, four (4) residential laundry rooms and a maintenance laundry room. Resident rooms consist of a bedroom, living room, dining area, kitchen, bathroom and walk-in closet. Bathrooms are clean and operable with grab bars and non-skid surface mats/strips. Hot water temperature was in a range of 109.5 to 129.9 degrees Fahrenheit which is not within range of 105.0 -120.0 degrees F. Adequate linen and personal hygiene supplies are in stock.