Facility Evaluation Report

On 03/30/22, Licensing Program Analyst (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit, and was allowed entry into the facility. LPA met with Administrator Amy Saulnier, Administrator. The facility is a 167 bedrooms of which 123 bedrooms is in assisted living and 44 bedrooms is in memory care. Fire clearance is granted by the local Fire Department for 167 non-ambulatory and 18 bedridden for total capacity of 185.

LPA conducted a tour inside and outside of the facility. The following areas were toured and inspected:

1st Floor: Community space, Administration offices, Front Lobby, Mail Room, Fitness Center, Laundry Room, Private Dining Room, Dining Area, Medication Room, Kitchen, Break room, Lounge room, Activity rooms, and a sample of rooms.

2nd Floor: Administration offices, Hair Salon, Laundry Room, Break room, Lounge room, Medication Room, Library, Chapel, a sample of rooms.

3rd Floor: Laundry Room, a sample of rooms.

LPA observed bathrooms to be functioning properly with grab bars and non-skid mats. Food supply was checked and appeared to be an adequate supply. Emergency exits are posted. A fire extinguisher was observed and has a service date of 05/26/21. Medications were kept locked and inaccessible to residents in care. Resident records were reviewed. LPA observed resident Admission Agreements and Physician Reports. A sample of staff records were reviewed to have a criminal record clearance.

Component III was conducted during today's pre-licensing visit.

I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.