Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Concierge at 12:30p,. LPA met with Regional Operations Specialist Samuel de Guzman and explained the purpose of the visit.

Currently the facility has thirty-nine residents with a capacity of seventy-two ambulatory; of which twenty five may be non-ambulatory. The facility is approved for a hospice waiver for twenty. Currently the facility is approved for delayed egress and construction is being done with contractors to provide delayed egress doors. Currently, all exit doors are secured and locked.

The facility consists of two buildings. The first building is primarily administrative offices and is two floors.. No residents reside in the building. The second building is a single story building with five wings with single and shared apartments. Bathrooms are shared in a "Jack and Jill" fashion in each apartment but there are no showers. Each wing has two restrooms/showers that are used for the community. LPA observed bathrooms had grab bars and non-skid flooring, One bathroom was being renovated but all other bathrooms were in working order. LPA tested the hot water temperature in four of four resident apartments. The hot water temperature was 105.2 degrees Fahrenheit.

During today’s visit, LPA toured the facility and inspected the physical plant . Regional Maintenance Specialist Tony Chiasson provided LPA background history on delayed egress and fire inspection reports by vendor Cal Building Systems on April 30, 2026. Fire and carbon monoxide detectors were tested and passed. Fire extinguishers were charged and inspected on March 25, 2026. The facility’s last fire drill was conducted on May 20 2026.