Facility Evaluation Report

Licensing Program Analyst (LPA) Liliana Silveira, made an unannounced visit to conduct the required Annual Inspection to ensure substantial compliance with Title 22 regulations. LPA Silveira was granted entry into the facility by Cognitive Enrichment Director Karen Moran, after identifying herself and stating the purpose of the inspection. The facility serves 52 non-ambulatory residents, age 60 and above, of which 8 may be bedridden. There is an approved Hospice Waiver for 12 residents. This is a two-story complex, equipped with delayed egress and secured perimeters. Currently, there are 18 residents living in the facility.

LPA, accompanied by Karen, toured of the facility. The tour was conducted inside and out and included a sample of resident units, the dining area, recreation rooms, and food storage areas. The last disaster drill was conducted on December 18, 2025. No bodies of water are on the premises. Passageways were free from obstructions. According to Karen, there are no weapons and/or ammunition stored on the premises. Signal Systems was available in each resident unit and LPA observed functionality of said system. Delayed Egress and secured perimeter doors were also tested for functionality. Resident's room temperatures were within a comfortable range.

Each resident had clean and sufficient bed linens. All extra linens, towels, and washcloth inventory was kept in each resident’s room. 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. Hot water temperature in residents’ bathrooms were compliant.