Facility Evaluation Report

On May 27, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to conduct a Case Management with Deficiencies and met with Anna Martinez, Memory Care Director. LPA made introductions and stated the purpose of the visit.

LPA Mixson made observations, along with record reviews. There were sufficient staff present to attend to the care and supervision of residents at the time of this case management visit. Residents were occupied with medication management, and scheduled activities. There were no imminent health and/or safety concerns observed at present. LPA Mixson did not observe any obstructions or debris inside or outside of the facility. LPA observed the facility utilities to be operating without issue.

LPA assessed the availability of food and observed there was a variety of food types available for the residents in care. Food supply meets the requirement of a two-day supply of perishable foods and a seven-day supply of non-perishable food items. Medications were found to be in sufficient supply, locked, and inaccessible to residents in care. The housekeeping team was present making their rounds. The facility is clean, neatly organized, and has a supply of activities available for the residents in care. The Activities Assistants there were two present and facilitated scheduled activities. No unattended residents were observed currently.

Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and/or welfare of the residents in care. However, on May 14, 2025, Community Care Licensing received information stating that a resident wandered into another resident’s room, deficiencies will be cited for "Facility Failed” to prevent a Resident from wandering into another resident’s room. 80078(a). An exit interview was conducted, and a copy of this report was discussed provided to Anna Martinez.