Facility Evaluation Report

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Marielena Cardenas , Business Office Director and the purpose of the visit was discussed. The facility is licensed to serve 160 ambulatory residents age 60 and over of which 160 may be non ambulatory. The facility has an approved hospice waiver for 20 residents. There is also an approved delayed egress. Currently the facility serves 60 Assisted Living residents and 66 residents are in Independent living. Currently there is (1) residents receiving hospice services and (11) residents are receiving home health services. The facility does not handle any of the residents’ money. LPA Day reviewed 10 resident records, 10 resident medication records and 8 staff files. LPA found All records to be in order and complete according to Title 22.

This is a 5 floor building consisting of: (137) resident bedrooms. The 2nd to 5th floor is Assisted Living Units and Independent living Units consisting of studio, 1 bedroom and 2 bedroom units. All units have personal washer and dryers located in the bathrooms. The 1st floor is Compass Rose Memory Care Units. LPA and Maintenance Director, Mario Carrillo toured the facility from the 1st floor to the 5th floor. and outside grounds. LPA toured the following rooms #512, #510, #522, #416, #411, #415, #313, #217, #228, #210 and The Memory Care unit. All bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 112 degrees - 116 degrees. . Common areas were clean and clear of hazards; doorways were free of obstructions. There are game