Facility Evaluation Report

On 11/13/24 at 9:40AM, Licensing Program Analysts (LPAs) Angelica Segovia and Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPAs met with Resident Care Director Mary Jane Reyes and disclosed the purpose of the visit.

LPAs asked for the census, resident, and staff rosters.

A physical tour was conducted at 11:10 AM and observed the following:

The entire facility has a total of 175 (one-hundred and seventy-five) beds. The facility is a two-story building. Both first floor and second floor are assisted living and memory care. The facility has two (2) memory care units: Evergreen located on the second floor and Willow located on the first floor. There are two (2) medication rooms one on the first floor and one on the second floor. The Evergreen Memory Care section of the facility has their own activity, television, and dining hall area. The door has a code and delayed egress on the doors. Willow Memory Care also has its own activity, television, and dining hall area. The assisted living side has their own activity room on the second floor, dining hall on the second floor and a television room on the first floor . The assisted living side has access to a huge patio area with proper seating for residents.

Random Bedrooms were randomly selected to tour and were observed to have appropriate furniture, lighting, bedding, and televisions. Random Bathrooms were observed to have grab bars and non-skid mats. Hot water temperature was tested randomly for and measured 105–118-degree Fahrenheit.

Fire extinguishers were observed throughout the facility and were fully charged on green with different dates. There are fire extinguishers upstairs, downstairs and in the kitchen area. Carbon Monoxide and fire alarms are located throughout the facility and are operable.