Facility Evaluation Report

At approximately 9:05AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1 year required visit and met with Administrator, Eugene Pascual, and Executive Director, Terry Bechtold. Facility serves older adults in Assisted Living and Memory Care. Facility has a plan of operation for dementia care and programming on file. Facility has a total capacity for 150 residents and an approved fire clearance for 150 non-ambulatory residents, of which 35 residents can be bedridden. Facility has an approved hospice waiver for 25 individuals. Upon arrival, LPA was informed that there were 118 Residents in care and 47 staff members on-site.

LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA conducted a walk-though of the facility with Administrator and Executive Director and observed the following: Facility is a 2-story building for Assisted Living and Memory Care. Facility's Memory Care consists of two areas - Lee's Lane and Hogan's Court. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility has an Infection Control plan on file. Emergency evacuation chairs were observed at facility stairwells. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations.

There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Mattress pads were in place or available for Resident use. Toxins were observed to be stored inaccessible to residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Hot water temperatures for 7 of 10 sinks were found to be out of compliance with Title 22 Regulations, measuring at 125.6F, 125.2F, 122.5F, 123.0F, 121.8F, 120.3F, 120.2F . Facility's fire extinguishers and smoke and carbon monoxide detectors were last inspected January 2026. Facility's fire and sprinkler system was last inspected June 2025.