Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection visit at this facility today. LPA met with Administrator and explained the reason for the visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools.

At 9:30a.m. LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility is fire cleared for one hundred eighty (180) residents of which sixty-five (65) may be non-ambulatory and has a hospice waiver for two (02). The facility is currently occupying seventy-five (75) residents. The facility is a two (02) story building in a residential community. The 1st floor consists of the following: a lobby area, administrative offices, dining area, activities room, kitchen, garden lounge, beauty shop, game room, tea room, indoor gardens with water fountains, TV areas, outdoor gardens, and residents’ rooms. The 2nd floor consists of activity area, TV areas, library lounge, Zen room, snack room, large lounge area, and residents’ rooms. The passageways and walkways are free of hazards and free from obstruction.

The facility maintains a comfortable temperature at 74°F. There are carbon monoxide detectors installed in the facility. Fire extinguishers are located all throughout the facility and last inspected on 05/13/2025. The fire extinguishers were observed to be fully charged and in compliance. The facility is equipped with emergency fire sprinkler system. Facility Fire drill was last conducted on 12/02/2025.

There is only one entrance being utilized at the facility, all required posters were posted in the hallway. During today's visit, in addition to the physical plant inspection LPA interviewed seven (07) out of seventy-five (75) residents.