Facility Evaluation Report

On May 8, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Executive Director Carla Chan. LPA explained the purpose of today’s visit. The facility is licensed to serve ambulatory and non-ambulatory elderly adults ages 60 and above. The facility is approved for (15) hospice residents. Currently, the facility has (5) residents on hospice care.

The facility is a two-story structure located in a commercial neighborhood. It consists of the following: (108) resident bedrooms. Each room has a bathroom in the unit. The facility houses an activity room, dining area, kitchen, beauty shop, administrative offices, and outside patio area.

LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #111; #113; #127; #135; #138; #141; #207; #212; #217, and #224. The water temperature range from 105.0 - 106.9 degrees F. and room temperature range from 74 - 75 degrees F., call buttons, and smoke and carbon monoxide are all in operating condition.

LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged. A review of Fire & Earthquake Drills were completed for AM, PM and NOC shift on 04/01/25 and 04/04/25. Several working landline phones are available on-site. A review of Medication Administration Records found to be in order and accurate.