Facility Evaluation Report

LIcensing Program Analysts (LPA) Rose Ruppert and Michael Tea made an unannounced visit to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by the Business Office Director at 8am. LPAs met with Executive Directors (EDs) Susan Allen and Cynthia Figueroa and explained the purpose of the visit.

The facility is a two-story building with Assisted Living that occupies the first and second floors and the Memory Care is secured and housed on the second floor. The facility has an approved fire clearance for one hundred ten non-ambulatory residents, of which twelve may be bedridden and is approved for delayed egress. The facility has an approved hospice waiver for twelve residents. Currently there are seventy-eight residents in care with four on hospice and no residents are bedridden.

During today’s visit, LPAs and EDs toured the facility and inspected the physical plant. The facility was 72 degrees. LPAs reviewed fire inspection paperwork and twenty fire extinguishers were charged and inspected on June 4, 2026. The fire alarms systems were tested on July 2, 2025 and this year's inspection is scheduled for July 24, 2026. Sprinklers were tested on June 19, 2026. LPAs were also given the monthly Pest Control paperwork and the facility was clean and there were no odors detected. Evacuation chairs were observed on two stairwell exits and both facility elevators were in working order. The facility's last fire drill was conducted on June 10, 2026. The kitchen exhaust cleaning was observed for June 17, 2025 and the kitchen fire extinguisher was also inspected and charged. Resident modified diets were observed in the kitchen and temperature logs for the refrigerator and freezer were completed.