Facility Evaluation Report

On 12/23/2024 at approximately 09:45 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. Upon arrival LPA was greeted by the Director of Engagement Marhlyn Sapugay. LPA stated the reason for their visit. The Administrator was phoned shortly after and made aware of today’s visit.

LPA asked for census, staff, and resident file. LPA along with Director Sapugay conducted a physical plant tour at approximately 12:30 PM and the following was noted:

The facility is a two-story building. The facility is fire cleared for one hundred fifteen (115) non-ambulatory residents and a Hospice waiver for six (6). The facility consists of Assisted Living located on both floors and Memory Care located on the first floor. Smoke detectors and carbon monoxide observed to be working properly and in good repair. Smoke alarms were last inspected on 10/31/24. There are fire extinguishers located throughout the facility hallways. Fire extinguishers dated 05/02/24.

Required postings such as Emergency Disaster Plan, Facility License, and Facility sketch are located at the main entrance. Screening area is located immediately upon entrance.

Common areas: observed to be neat, clean, and organized. Common areas observed to be properly furnished and in good repair. Such included are: Dining room, Activity room, Theater/Chapel, Mail room, Beauty Parlor and Fitness center (located on the second floor). Hallways and passageways are free of obstruction. Stairway observed to be equipped with an evacuation chair. Elevators, two (2), were functional. The facility maintains a comfortable temperature at a range of 71°F - 74°F throughout the facility. Fireplace observed to be covered inaccessible to residents.

Office/Work Station: The Administrator's office and sales and marketing room are located near the main entrance, near the front desk. (continued on LIC 809-C)