Facility Evaluation Report

On 04/28/26 at 8:25AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA met with Receptionist, Esther Rodas and LPA disclosed the purpose of the visit Lindsay Schroeder, Executive Director arrived shortly after.

LPAs asked for the census, resident, and staff files.

A physical tour was conducted at 8:50AM and observed the following:

The maximum capacity of the facility is 113 non-ambulatory residents. Nine (9) of these residents can be bedridden. Hospice Waiver is for seven (7) only. The facility is a five (5) story building. The first, third, fourth and fifth buildings are for assisted living and second floor is for memory care only. The first floor consists of the following: a lobby/living room area with a large television, administrative offices, mailboxes, dining area next to the kitchen area, activities room with a television, theater room with a television, game area, bistro area with snacks and enclosed outdoor patios with furniture and shaded areas. The third floor has a gym. The memory care which is the second floor has delayed egress doors, it's own medication room, laundry and detergents locked and inaccessible to the residents, the dining area and activity area are together withe a large television and it has an enclosed patio area. There are two (2) elevators. There are several stairways. The only stairway that had evacuation chairs was the fifth floor.