Facility Evaluation Report

Licensing Program Analysts (LPAs) Amy Rodgers and Juliana Barfield, made an unannounced visit to conduct a required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPAs Amy Rodgers and Juliana Barfield were granted entry into the facility by Executive Director, Thomas Daynes, after identifying themselves and stating the purpose of the inspection. The facility serves 125 non-ambulatory residents, age 60 and above, of which none may be bedridden, and currently has 113 residents in care. There is an approved Hospice Waiver for 27 residents. This is a three-story complex, comprised of three (3) wings and equipped with delayed egress and secured perimeters.

LPAs were accompanied by Executive Director, Thomas Daynes during a tour of the facility. Tour was conducted inside and out and included a sample of resident units, the dining area, recreation rooms, and food storage areas. All areas were clean and passageways unobstructed. Signal systems are in place and operational. The last disaster drill was conducted 9/13/2023. A decorative water fixture was present in the inside patio area but patio is not accessible to residents with dementia. According to Executive Director, Thomas Daynes, there are no weapons and/or ammunition stored on the premises. Pull cords were available in each resident unit and were tested for functionality. Delayed egress and secured perimeter doors were also tested for functionality. Resident's room temperatures were within a comfortable range.