Facility Evaluation Report

On 1/28/2026 at approximately 9:50 a.m., Licensing Program Analysts (LPAs) Evelin Rios and Lorena Casillas conducted an Annual Required visit. Upon entry LPAs signed in by a security guard at reception. LPAs met with Assistant Administrator Wendi Doyon and explained the reason for the visit. LPAs later met with the Administrator, Edina Lemus. The Inspection Tools was used to complete this visit.

LPAs requested a copy of the following: resident roster, personnel report, last fire inspection, menu and activities calendar.

At approximately 10:46 a.m., LPA Rios initiated a physical plant tour and the following was observed: By the main entrance and throughout the facility LPA observed appropriate postings such as, resident's rights, Rights of Resident Council, the facility's activity calendar, menu and emergency evacuation routes.

Kitchen: The kitchen has an industrial setting and observed to be clean and in proper order. Appliances and fixtures were observed to be functional. Sufficient amount of perishable and non-perishable food was in stock and properly stored. Kitchen is inaccessible to residents. Dishwashing liquids and other cleaning agents are separate from food preparation areas. LPA discussed food delivery, meal planning and overall food monitoring with the Food Manager, A. Sebert. According to the Food Manager the facility hosts a monthly meeting open for residents to discuss future menus. LPA also observed the 72 hour supply of food in the facility and was informed by the Food Manager that another eight (08) day supply of emergency non perishable supply of food is kept in storage by the facility.