Facility Evaluation Report

On 07/20/2026, Licensing Program Analyst (LPA) Shakaricka Hughes arrived at the facility to conduct an unannounced annual inspection. LPA Hughes met with the Executive Director/ Administrator Karan Bassi, and the Health Services Director Jordan Raymundi who assisted LPA during today's visit. The current census is 87 with 15 facility staff present.

This facility is a single story building licensed to serve (88) non-ambulatory and (20) bedridden residents. LPA inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present.

LPA toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 113.9 degrees Fahrenheit in four (4) resident bathroom sinks, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. LPA observed fire extinguishers located in each cottage last serviced on 11/12/2025. LPA observed public telephones located in the med rooms of each cottage, and the facility has the required posters posted. Facility thermostat was observed at 71 degrees Fahrenheit. LPA observed toxins located in a locked storage inaccessible to residents. LPA observed sharp knives kept, locked in the kitchen and inaccessible to residents.