Facility Evaluation Report

Licensing Program Analysts (LPAs) Hanna Gough and Fred Arias made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry by staff. LPAs met with Administrator (AD) Patty Osuna and Assistant Administrator Alexis Jones and discussed the purpose of the visit.

The facility is a two-story building with resident bedrooms, bathrooms, activity room, movie room, dining room, kitchen, medication room, staff offices and outdoor courtyard. LPAs observed the medication room to be near the staff offices with locked medication carts. LPAs observed the first aid kit to have all the required components and furnishings. LPAs observed the activities room to have puzzles, markers and craft supplies for resident use. LPAs observed the kitchen to be clean and free of vermin. LPAs observed a two day perishable and seven day non perishable food supply on hand. LPAs observed the refrigerator temperature to be reading at 50 degrees Fahrenheit and the freezer to be read at 10 degrees Fahrenheit. LPAs observed the laundry room to be in use with a working washer and dryer. LPAs observed the housekeeping closet where toxins and chemicals are stored near the medication room to be unlocked and made accessible to residents in care. LPAs observed the resident bedrooms to have all the required components and furnishings. LPAs tested the pull chord system with a staff response time of 6 minutes. LPAs observed the restrooms to be stocked with toilet paper and non slip mats in the shower. LPAs tested the water to be between 109 and 119 degrees Fahrenheit. LPAs observed fire extinguishers charged and with a service date of March 6, 2026, throughout the facility. LPAs observed carbon monoxide detectors on both floors to be operational. LPAs observed 1 of 2 elevators to be non operational that was addressed to be fixed during the pre-licensing visit conducted on May 29, 2026, giving the facility until July 24, 2026, to repair the elevator. LPAs observed the outdoor shaded seating area was free of debris and obstructions.