Facility Evaluation Report

Licensing Program Analysts (LPAs) Amy Rodgers and Juliana Barfield, made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPAs Rodgers and Barfield were granted entry into the facility by Exevcutive Director, Nicole Long, after identifying themselves and stating the purpose of the inspection. The facility serves one hundred fifty (150) non-ambulatory elderly residents age sixty (60) and above; of which six (6) may be bedridden and may use designated rooms. There is an approved hospice waiver for six (6). This is a four-story complex, with marked entry and exit door on first floor. Elevators are available for residents to use to access all floors.

LPA was accompanied by the Executive Director, Nicole Long 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. Signal systems are in place and operational. The last disaster drill was conducted in October 2023. PPE supplies are onsite. No bodies of water are on premises. Passageways were free from obstructions. According to Executive Director, Nicole Long, there are no weapons and/or ammunition stored on the premises. All doors were operational.

Each resident had clean and sufficient bed linens. All extra linens, towels, and washcloths are all accessible in rooms or in locked hall closet. 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.