Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by receptionist. LPA met with Autumn Conquest, Assistant Executive Director and Ito Chong, Assisted Living Director and explained the nature of the visit. Facility is licensed for 230 non-ambulatory residents, approved for secured perimeters, and delayed egress. Facility has an approved hospice waiver for 20 residents. The facilities current census is 172 residents. There are 10 residents on hospice during today's visit. This facility consists of two main areas. The assisted living and the memory care unit which are protected by delayed egress exits.

LPA Martinez along with staff toured the physical plant of both the assisted living and the memory care unit. LPA observed a bistro adjacent to the main dining room where residents can obtain different snacks and beverages selections than in the main dining area. The bistro offers snacks all day so residents may dine when convenient. LPA observed menus for both areas and the food offered is varied and healthful. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Maintenance records were observed in the main kitchen. Facility has two food vendors that deliver food supplies. One of the vendors delivers once a week, where as the other vendor delivers twice a week. During the tour LPA observed residents involved in an activity as well as a posted activity schedule including games, exercise, and outings at the facility. LPA inspected that medication is centrally stored in a safe locked location; facility has a medication room and use medication carts to distribute medication to residents. LPA observed and inspected medication carts that are used to dispense meds to residents and observed