Facility Evaluation Report

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Jennifer Ortega, Executive Director. This facility serves one hundred and twenty (120) residents 60 and above; all may be non-ambulatory and fifteen (15) may be bedridden. There is an approved hospice waiver for fifteen (15). During today’s inspection there were 89 residents in care.

LPA was accompanied by Executive Director (ED) Jennifer Ortega during a tour of the facility. A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. Signal systems are in place and operational. PPE supplies are onsite. Passageways were free from obstructions. According to ED, Ortega, there are no weapons and/or ammunition stored on the premises. There are no pools or bodies of water on the premises. Facility does feature delayed egress doors as well as a locked perimeter in Terrace level (Reminiscence Unit).

Each resident had clean and sufficient bed linens. All extra linens, towels, and washcloths are stored in resident's individual rooms. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars and anti slip floors. Hot water temperature in residents’ bathrooms were compliant.

Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.