Facility Evaluation Report

On 1/21/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct their annual inspection visit. LPA met with Business Manager, Kaushik Sharma (S1), and stated the purpose of the visit. The Executive Director/ Administrator, Alyssa Sellers (AD) was notified and unable to be present during this annual visit.

Overview : Facility is a two-story building. Facility is licensed to serve up to 160 elderly residents, up to 154 residents may be non-ambulatory and up to 24 may be bedridden. Bedrooms and non-ambulatory rooms are interchangeable. Facility has a hospice waiver granted for 15 residents.

Physical Inspection : Areas inspected include, but not limited to, the kitchen, dining, resident units/bedrooms, resident bathrooms, common areas and outdoor areas. Tour of the facility was conducted with Facility Maintenance, Johnna Weaver.

LPA inspected 4 resident units, 2 in the Memory Care (MC) area and 2 in the Assisted Living (AL) area. Hot water temperature ranged from 105 - 117 degrees Fahrenheit. The 4 resident units were observed to be in good repair at this time. Pull cords were tested in the residents’ bathrooms and were found to be in good working condition. Each resident room have its own heating/cooling and can be controlled by residents. Hallway temperature was between 68 – 74 degrees Fahrenheit.

Fire extinguishers were observed throughout the hallways. One sample was last inspected on 2/11/2025. Smoke and carbon monoxide detectors were observed throughout. LPA observed centrally stored medications, toxins, sharp objects and other dangerous items were kept locked and inaccessible to residents in care.

In the kitchen area, LPA observed at least seven-day non-perishable and two-day perishable food supplies. Pantry was observed to be fully stocked with non-perishable food items.