Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA was met by Christina Matsumoto, Executive Director and explained the purpose of the visit. The facility is licensed to serve for a capacity of (120) non ambulatory residents, age range 60 and over, of which (10) may be bedridden. Rooms 129-145 and all 1st floor rooms approved for bedridden except for room 101, 103, 105, 107, 109, and 111. Exterior gates approved for delayed egress. Hospice waiver for (20) has been approved. The facility has a new management, Walnut Silver Town effective 10/15/2025. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Bathrooms have hygiene items such as paper towel, hand soap and toilet paper. Staff are adhering to infection control requirements.

Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan. The facility has a dementia care plan to accept or retain residents with dementia. Facility maintains the required liability insurance which expires on 12/22/2025. Facility does not handle residents cash resources.

Physical Plant/Environment Safety: The facility is a 2 story building with resident rooms on both floors. The main floor consists of the main lobby, administrative offices, activity room, dining room, kitchen, resident rooms, laundry room and the memory care unit. The 2nd floor consists mainly of resident rooms, medication room, office, laundry room and activity rooms. LPA selected random rooms in the 1st and 2nd floors to inspect. They are clean and have the required furnishings. There are no items obstructing the walkways. The fireplace is adequately screened. There are multiple carbon monoxide detectors in each hallway and fire sprinklers throughout the facility. There are shaded areas with outdoor furniture in the Memory Care unit and Assisted Living unit provided to the residents. There are no pools or large bodies of water. Facility has sufficient space to accommodate indoor and outdoor activities. There are planned activities daily. There are sufficient food supplies of 2-day perishable and a week of non-perishable items as well as water supply. The foods are properly stored in the refrigerator. There are no security bars or weapons on the premises. The facility has central air and heating accommodations. The hot water temperature was tested throughout the facility and measured within Title 22 Regulation guidelines. Storage areas for cleaning solutions, toxic, knives, and hazardous items were inaccessible to residents. The fire extinguishers were observed to be fully charged. *****CONTINUED ON LIC809-C*****