Facility Evaluation Report

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted a site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with Assistant Administrator / Alexander Solorio who assisted with the visit. The facility is licensed to serve for a capacity of 97 Non-ambulatory residents (of which 30 may be bedridden) ages 60 and above. The facility has an approved Hospice Waiver on file for thirty (30) residents.

Pasadena Villa Senior Living does not have an approved Dementia Care Plan in its plan of operation and does not accept/care for residents with dementia. During today's visit, LPA used the infection control domain to complete the Required - 1 Year inspection. Also, the physical plant was toured, medication and food supplies reviewed.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility consists of 49 bedrooms, 28 bathrooms, 4 shower rooms (2 Main and 2 Private), a main dining room, 1 common room, a library, a kitchen, a salon, a medication rooms and several offices. The facility has a covered patio in front of the facility, and 2 courtyards. The front grounds of the facility are well landscaped and have a leveled walkway to the entrance. No large bodies of water were observed. There are no security bars or weapons on the premises. The facility has central air and heating accommodations.

LPA toured a random selection of resident rooms. Resident rooms were furnished appropriately. Each resident room has a shared bathroom. The bathrooms were observed to be operational w/grab bars. Each resident has a call light button which is given to them upon admission. The call light button was tested in various rooms and is operable. The hot water temperature was tested throughout the facility.

The kitchen was observed. There was a sufficient amount of perishable and non-perishable food supplies and perishable food was stored in covered containers at the appropriate temperatures. No pesticides or poisons