Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced annual inspection visit. LPA met with the Administrator Claudia Sanchez and the purpose of the visit was explained. The facility serves elderly residents ages 60 and older. A hospice and Dementia waiver is in place.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility has an updated Infection Control Plan in place.

Operational Requirements: A hospice waiver for 15 residents has been approved. A fire clearance for 48 ambulatory, 32 non-ambulatory, of which 7 may be bedridden is in place. A hospice and Dementia waiver is in place. LPA observed the valid Surety Bond in place. LPA observed the Valid Liability Insurance in place. Fire and disaster drills were last conducted on 07/15/2025.

Physical Plant/Environment Safety: The facility consists of 48 resident rooms in a two-story main building and two (2) detached buildings, activity room, dining room, laundry area, two (2) courtyard patio areas, and one 2nd floor balcony. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to residents. The fireplace is closed and inaccessible to residents. The facility has fully charged fire extinguishers. The Carbon Monoxide Detectors were tested and is operational. LPA inspected eight (8) residents' rooms and each resident bedroom has the required furniture such as the bed, bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen, and the linen is in good condition.