Facility Evaluation Report

On June 17,2026, Licensing Program Analysts (LPA) Melina Oropeza and Licensing Program Manager (LPM) Liza King arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by Business Office Director, Admin is on vacation. LPA explained the purpose of the visit,

LPM observed breakfast service in the main dining room consisting of corn beef hash, fruit and cereal. The menus were accessible on the dining tables of AL. The environment was clean and inviting.

LPM and LPA conducted a tour of the Memory Care (MC) area. The general area was clean with no odor, breakfast service was finished and residents were seated in different areas of the community. Residents appeared well kept. LPM conversed with several residents throughout the MC, all appeared pleasant and engaged. LPM entered 5 resident rooms 5/5 (R6, R7, R8, R9, R10) had personal care supplies and 1/5 had cleaning supplies accessible ( this room was locked and resident manages key to room) and reviewed the LIC602 for these residents. 2 of 5 are at risk if allowed access to personal care and/or cleaning supplies. TA was provided that although 1 of 5 is allowed access per the LIC602, it may benefit the community to have the resident reassessed, the LPM observed a coffee cup full of shaving cream which could be ingested. Additionally, TA was provided to develop a plan to assist staff in identifying those residents there are and are/ not allowed access to dangerous substances. LPM pulled a cord in R9s room which was answered in one minute. R10 has their own refrigerator in their room which contained expired foods. Late morning activities in MC were observed, residents were engaged in singing and Fit and Fun.