Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho and Regional Manager (RM) Monica Tran arrived unannounced for the purpose of conducting the Required 1 Year Inspection. LPA and RM were greeted and granted entry and met with Executive Director (ED) Christian Otbo after the stating the reason for the visit.

The facility is licensed for 180 residents, 40 ambulatory and 140 non-ambulatory. Facility maintains a hospice waiver approved for 20. As of today’s date, the resident census is 140 of which 13 are receiving hospice care. Facility is operating within the conditions and limitations specified on the license. The ED has a valid administrator’s certificate expiring February 8, 2028.

At or approximately 9:45am, LPA and RM toured the physical plant including all common areas accompanied by ED Otbo. The facility is a three story property housing Assisted Living (AL) and Memory Care (MC) residents. LPA and RM observed the facility to be clean, sanitary, and in good repair. Hallways were free of clutter. LPA and RM inspected a sample size of 12 resident units of which 2 are memory care units. The resident bedrooms had all required elements with ample lighting. The residents’ personal bathrooms were checked. Toilets and water faucets worked properly, and the grab bars were secure. Showers were free of mold/mildew, and slip resistant mats were available. The hot water temperature in the resident bathrooms measured within range between 111.9-120.0 degrees Fahrenheit. All shared bathrooms in the common areas had sufficient supply of soap, toilet paper, and paper towels. The hot water temperature measured within range between 111.5-114.0 degrees Fahrenheit. LPA and RM inspected the kitchen and dining area. Facility maintains ample supply of two day perishables and seven day non-perishable food. LPA and RM observed staff engaged in food preparation wearing gloves and adhering to food sanitation practices.