Facility Evaluation Report

Licensing Program Analysts (LPAs) Brian Balisi and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at approx 9:18 a.m. Upon arrival LPAs met with Executive Director Kevan Sidney and explained the reason for the visit.

At approx 10:00a.m. , LPAs 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.

LPA began the inspection in the kitchen/food service area. Knives are kept inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. The LPAs observed sufficient perishable and non-perishable foods to meet the minimum two-day and seven-day supply of food and water. Refrigerator and food pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked.

LPA inspected the common areas throughout the facility. The common areas include the following on the first floor a library, multi-purpose/activity room, dining room, bistro, and the auditorium. On the second floor is the memory care area with patio, 2 sitting/living rooms. All the rooms have been appropriately furnished. The common areas were observed to be properly furnished and relatively clean at the of the visit. There is a dedicated area for the posting of required documents directly by the main entrance and hallway. Fire extinguishers were observed throughout the facility, fully charged and were last serviced 03/08/2025. All exits in Memory care have functioning auditory devices and were operational at the time of the visit. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. Facility has four stairwells, LPAs observed each stairwell with an evacuation chair.