Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the Health Service Director (HSD), Yolanda Ramirez, and explained the reason for the visit. The administrator, Lance Shenk, is currently at the Ventura Facility and unable to join. With the assistance of the HSD, a tour of the physical plant was made. The facility has three (3) floors. The fire clearance is for one hundred (100) non-ambulatory residents, of which ten (10) may be bedridden. Hospice waiver is for ten (10) residents. Delayed egress is approved for Dementia Unit (Italy & France). There is a fifteen second delay, or combination code to open the door. The facility's smoke alarms are hard wired. Last testing, which includes the sprinklers, fire door, alarms and exit light was completed on 05/31/25. Fire/earthquake and emergency evacuation drill was last conducted on May 10, 2025. The fire extinguishers throughout the facility hallways are on all three (3) floors, all extinguishers were last serviced on August 1, 2024.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperatures. There was a sufficient amount of perishable and non-perishable food at the facility and properly stored. Residents do not have access to the kitchen. Listing for residents that require a special diet is posted on the kitchen wall. Food deliveries from US foods are made twice a week. There were no pesticides or poisons observed near any food areas. Kitchen/food service staff observed with gloves and proper hair cover.

Bedrooms: Personal accommodations in resident bedrooms and bathrooms were observed for safety, privacy, and comfort. Random resident rooms were inspected and observed with all required furnishings and grab bars and nonskid surfaces in the bathrooms. Emergency push button was tested for proper function.