Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Tammy Smith, Memory Care Specialist and Alexis Mendoza, Memory Care Director.

LPA stated the reason for today's inspection. Administrator, Anyssa Hill, arrived around 1:30 pm. The facility is licensed for (128) non-ambulatory residents, (8) of whom may be bedridden. There is an approved hospice waiver for (8) residents. Currently, there are (7) residents under hospice care.

LPA, Memory Care Specialist, and Memory Care Director toured the common areas of Assisted Living Unit (ALU), including the dining room, main kitchen, enclosed patio, bistro, movie theater, and (2) resident rooms and the Memory Care Unit (MCU). All areas toured were observed to be clean, in good repair and odor free. The hot water temperature was tested in (2) resident rooms and measured 115*F in one room and 119*F in another, within the 105-120*F range. The egress door was tested in Memory Care and staff responded quickly. Inside temperature measured 72*F, and the fire extinguishers were last serviced 2/19/2026. There was 2+day perishable, including fresh produce, and 7+day non-perishable food on site. LPA observed one of two weekly food deliveries. Facility bus maintenance records were reviewed and found to be current.

LPA reviewed (3) Memory Care resident files and (5) Assisted Living resident files. Files are well organized and contain required/current documentation. Medications were checked for (2) residents in ALU and MCU each. Medications are being administered per orders and documentation is being maintained accurately. (8) staff files were reviewed. Staff is regularly completing required training through an approved vendor. Staff have current First Aid/CPR certifications. Administrator has RCFE Administrator Certificate #6076929740 (exp 7/9/27). There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Executive Director.