Facility Evaluation Report

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced required visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez explained reason for visit and was greeted by front desk staff. During the visit, staff on duty contacted Executive Director/Facility Administrator (AD) Vanessa Valencia about visit. LPA observed that current staff are background cleared and associated to the facility.

The PUB475 "See Something, Say Something" poster was observed to be located and posted in the mail room. LPA observed the Administrator's Certificate for Vanessa Valencia, which expires on 7/29/2027.

LPA toured the interior and exterior portions of the facility with AD Valencia. The facility is a seven-story building (including the lower level basement), and is licensed for 150 residents. For this visit, there are a total of 114 residents in care, of which 24 residents are in memory care, and a total of 8 residents on hospice.

LPA toured nine bedrooms total in the assisted living and the memory care unit, and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature was measured to be at 118.4 degrees Fahrenheit. LPA observed that residents were provided with call buttons, of which were tested and observed to be operational.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were inaccessible to residents in care. Fire extinguisher was charged, mounted and located in multiple areas of the facility. Fire extinguishers were dated and tagged for the date of 2025.