Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Activity Coordinator (AC) Clara Ramirez and discussed the purpose of the inspection. Chief Operating Officer (COO) Faye Shen arrived during the inspection.

LPA reviewed Infection Control requirements. At about 1:00PM, LPA and AC conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is composed of a single, three-story building with an outdoor courtyard in the center, a commercial kitchen and large dining room on the first floor, a medication room on the second floor, multiple laundry rooms, a memory care unit on the second floor, a memory care unit on the third floor, resident rooms on all floors, along with multiple common areas and storage rooms. There is a total of 135 resident rooms. Resident Bedrooms: the 12 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 12 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 113 and 125 degrees F, before corrections, in the 12 resident bathrooms tested. Call system tested in multiple resident bedrooms with prompt responses from staff. LPA tested the delayed egress systems in both memory care units and noted they functioned properly. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations.