Facility Evaluation Report

Licensing Program Analysts (LPAs) Jerome Haley and Eboni Bentley arrived at the facility unannounced for the purpose to conduct the Required 1 Year Annual Inspection. LPAs were greeted and granted entry by one of the senior staff members on duty as the business/reception area was closed upon arrival.

The facility is licensed with a capacity of 120 residents and maintains a hospice waiver of 20 residents. During the annual inspection, the resident census was 45. LPA Haley and LPA Bentley conducted a tour of the physical plant and observed the following:

This is a two-story commercial building comprised of an Assisted Living (AL) Memory Care Unit. LPA’s inspected 8 random resident bedrooms which had all the required elements with ample lighting. The residents’ personal bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. The hot water temperature measured within the range of 105 -112.4 degrees Fahrenheit. LPAs inspected the kitchen and the dining area. A first aid kit with all the required elements was observed in the office of the Resident Care Coordinator (RCC) on the second floor. There’s also a first aid kit in the med room on the third floor. Facility maintains ample supply of two-day perishables food items and seven-day supply of non-perishables food items. Emergency food and water was observed. Cleaning chemicals and toxins was in a sotrage room on the second floor.

Edison Fire Protection conducted an annual inspection of the Fire/Sprinkler system on February 12, 2024 which was verified on the inspection report. LPAs toured the outside grounds, there was sufficient seating and shading for the residents, and the walkways were free of obstruction.