Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived unannounced to conduct a required annual visit. The LPA met with Associate Executive Director (AED) Edward (Eddie) Ocegueda and informed them of the reason for the visit. LPA was informed Executive Director is unavailable today.

At 10:45AM, the LPA and the Associate Executive Director toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations. The following was observed:

Fire extinguishers throughout the facility buildings were observed to be fully charged and last serviced 08/07/2023. The facility's fire safety system 5-year inspection was conducted on 12/06/2019 by Fraker Fire Protection; all relevant systems passed at that time. The annual inspection was conducted by Fraker Fire Protection on 05/23/2024, noting one area of concern in building G. Proof of repair will be provided to LPA during annual continuation.

Common Areas: The main facility structure is a three-story building. There are resident rooms on all three floors, units are designated for assisted living residents on all three floors. In addition, there are additional resident units in six (6) stand-alone buildings.

Common spaces on the first floor include the theater, salon, secured pool, and spa. The second floor includes the reception area/lobby, library, activity rooms, fitness room, and physical therapy room. The third floor includes the kitchen/dining services, and activity rooms. There were no obstructions and/or tripping hazards throughout the facility. At 12:22PM, the doors to the fitness room were observed to be propped open with no staff present; 2 pairs of scissors and 2 screwdrivers were observed accessible on top of a desk. At 12:26PM, the ceiling over an open common area in the second floor was observed to be covered in plastic and dripping water. AED indicated there had been a leak in the third floor kitchen and the leak has since