Facility Evaluation Report

On 07/06/2026, at approximately 10:00 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a case management - incident visit and met with Victoria Mozaffari-Yazdi, Nurse Manager.

LPA is following up on information obtained during an interview conducted on 06/15/2026 and subsequent documentation received via email for LIC802 - Complaint Report #21-AS-20260421133334, which was received by Community Care Licensing (CCL) on 04/21/2026 for concerns not addressed in the complaint through an official allegation. During LPA's interview with Resident 1 (R1), concerns regarding chlorine levels in the facility's pool and spa were discussed. R1 stated that the levels were causing them skin sensitivities and subsequently provided LPA with pictures.

On 07/02/2026, during a subsequent facility case management - annual continuation visit, LPA obtained documents and conducted an interview with Staff 1 (S1). Based on the interview that day, it was revealed that the facility's Environmental Services staff test the chlorine, PH, and temperature levels in the pool and spa twice daily; once in the morning and once in the evening. Copies of the the daily testing logs were obtained for January 2026 through May 2026. Based on interviews and logs obtained, the facility operates in compliance with the Aquatic Counsel's national standards of chlorine levels maintained between 1 particle per million (ppm) and 10 ppm. Both revealed that due to the population served and resident feedback, the facility aims to maintain the pool chlorine levels between 3 ppm-5 ppm and the spa between 4 ppm - 6 ppm (due to increased temperature which increases the chemical burn rate).