Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to the facility. The purpose of today’s visit was to conduct the annual required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 76 non-ambulatory residents of which 10 may be bedridden. Facility has a hospice waiver for 16 residents and there are 13 residents on hospice during today's visit. The two story facility houses Assisted Living and Memory Care apartments including multiple, activity areas, med rooms, two common dining rooms, bistro, reading room and salon as well as an outdoor space. Administrator Eric Medor has a current administrator certificate expiring on 11/20/2026. Upon entry, facility appears clean, safe and sanitary.

LPA Lyman along with Administrator Eric Medor toured the facility at 9:22 AM. LPA toured the physical plant, checked food service, facility documents and the first aid kit. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.2 degrees F and 119 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA checked medication room and medication carts were found to be secured. Common areas were clean and clear of hazards, doorways were free of obstructions. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances are operational during today's visit. Toxins are secured. Smoke detectors and carbon monoxide detectors are tested monthly in house and fire/ sprinkler inspections were last conducted on 11/24/2025 by third-party South Coast Fire and Security. Fire extinguishers were fully charged. LPA reviewed the emergency disaster plan and plan is complete. Facility conducts quarterly emergency drills with the last drill conducted on 01/15/2026. Continued ON LIC 809C DATED 01/27/2026