Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. LPA met with Executive Director Kimberly Sanchez. The Residential Care for Elderly (RCFE) facility serves residents ages 60 and over. There is a Memory Care Unit for cognitively impaired residents.

Infection Control: The Infection Control Plan was reviewed. The facility has sufficient supply of Personal Protective Equipment (PPEs).

Operational Requirements: The facility has an approved fire clearance for 74 non-ambulatory residents, of which 4 may be bedridden. A hospice waiver for 15 residents is approved. Facility does not handle resident monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 4/1/2026.

Physical Plant/Environment Safety: The facility is two 2-story building consisting of "Evergreen" Memory Care Unit , 52 resident rooms, 2 activity rooms, 2 dining rooms, kitchen, dining room, 2 bathique rooms, two TV rooms, library, Bistro room, hair salon, administration offices, laundry rooms, storage areas, 1st floor courtyard/patio area with water fountain, 2nd floor terrace area, courtyard patio area, electrical rooms, staff break room, and parking garage. The interior and exterior physical plant was inspected. Twenty (20) resident rooms, common areas, and kitchen were inspected. Resident rooms have required furniture, bedding, linens, and lighting. Exit doors are free of any obstruction. Cleaning supplies and toxic substances are inaccessible to residents. The signal system was tested and is operational. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. There are evacuation chairs on facility stairwells to be used during an emergency as a path of egress from the facility to safety. The facility is equipped with sprinklers, smoke detectors, carbon monoxide detectors, and has charged fire extinguishers. The last fire inspection was conducted on 4/30/25 by Pasadena Fire Department.