Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required- 1 year visit. LPA met with Eusebio 'Sev' Tienda, Director of Wellness and LPA explained the purpose of the visit. The facility is licensed to serve (200) non-ambulatory residents age 60 and above. Hospice waiver approved for six (6) residents and Memory Care approved for twelve (12) residents. Facility is approved to lock both exterior doors on the perimeter gates in the Memory Care unit (Hacienda Bldg.). Facility is a Continuing Care Retirement Community (CCRC) which includes separate buildings throughout the premises. The Assisted Living residents are located in the Memorial Lodge (ML) and Shu Lodge (SL). Memory Care Unit, which is located in the Hacienda Building, is approved for 12 residents. Currently, there are 30 residents in the Assisted Living, 10 residents in Memory Care and 132 residents in Independent Living.

On today's date, LPA inspected the six (6) domains including: Infection Control, Operational Requirements, Resident Rights/Information, Planned Activities, Food Services, and Disaster Preparedness.

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility has a updated Infection Control Plan in place. Staff are adhering to infection control requirements. The facility allows visitors, such as ombudsman and advocacy representatives, to see residents privately at reasonable hours and without prior notice.

Operational Requirements: A fire clearance is in place. The Infection Control Plan is in place. Hospice Waiver for six (6) is approved and there are six (6) residents receiving hospice care, and zero (0) bedridden. Fire Drill was last conducted on 03/12/2026. Valid Liability Insurance is in place.