Facility Evaluation Report

On 02/24/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced Case Management – Deficiency visit, to document two deficiencies observed during a complaint investigation control number 11-AS-20260223121758 at this facility. LPA met with Administrator, Jennifer Rivas, and the purpose of the visit was explained. LPA was allowed entrance to the facility.

The following deficiencies were observed:

Time-Delay-Egress-Doors not opening within 15 to 30 seconds in the Memory Care Unit.

LPA pressed on the first-floor north side memory care unit door, which is a time-delay-egress-door, for 52.20 seconds when the door opened. LPA recorded the time on their Iphone stopwatch. Staff 1 was a witness to the event.

LPA pressed on the first-floor south side memory care unit door, which is a time-delay-egress-door, for 49.88 seconds when the door opened. LPA recorded the time on their Iphone stopwatch. Staff 1 was a witness to the event.