Facility Evaluation Report

Licensing Program Analysts (LPAs) Joscelyn Martinez, Gary Tan, and Yelena Avestisyan conducted an unannounced 1-Year Required Inspection at the facility today and met with Administrator Aris Vergara and explained the purpose of the visit. The facility consists of two( 2) memory care units (Willow and Evergreen) and an assisted living unit. There are currently twenty eight (28) residents residing in Willow Memory Care, twenty (20) residents residing in Evergreen Memory Care and sixty (60) residents residing in assisted living

At 9:00 am, LPAs conducted record reviews of randomly selected staff and residents.

At 2:40 PM, LPAs conducted a physical plant tour with the administrator to ensure that there is no health and safety hazard and facility is in compliance. The following were observed:

Memory Care Units: (Willow and Evergreen Memory Care) The following were observed.

There were no required COVID sings in the hallways nor walls. There were PPE stations throughout the memory care unit, there was no covered trash bin to discard the PPE upon exit. At 2:55 PM upon entrance in room 109 and 107 LPAs smelled a strong foul odor. In room 108 there was no running water in the bathroom sink, and resident's room did not have the require furnishing as well as the exit door was locked from the inside also, room 107 was observed to be locked from the inside. At 3:05 PM LPAs also tested the pull cord in room 108 and staff did not response. LPA's pulled the pull cord in room 238 and no staff responded. LPAs observed the second floor dining room flooring and tables in disrepair.