Facility Evaluation Report

On 04/22/2025, Licensing Program Anaysts (LPAs) Arielle Pascua and Triel Lindstrom arrived announced to this facility to conduct a Pre-Licensing visit. LPAs met with applicant, Christine Soriano and explained the purpose of the visit. Present at this visit was Facility Designated Administrator (FDA), Marlene Bremer, Regional Nurse, Carolyn Appeal, Business Office Director (BOD), Farial Shokoor, and Facility Designated Representative (FDR), Jessica Moreno.

The purpose of this Pre-Licensing visit was due to a change of ownership. This facility current has residents in care.

This prospective facility will serve and retain up to 88 elderly residents, of whom may be 83 non-ambulatory, and 5 bedridden residents. There is a fire clearance for bedridden residents in rooms #1,#2,#20, and #21 in the main building. The 5th bedridden bedroom is located in bedroom #41 which is housed in a separate building.

Current census was 57. A brief interview with Applicant Soriano was conducted.

A tour of the facility was conducted. This facility is all memory care, Delayed egress and other safety measures were observed to be functional at this time.

All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time.

Office rooms and other areas intended for resident use were toured.

Hot water temperatures were taken to make sure that the hot water being dispensed was within the allowed range of 105-120 degrees at this time.

Fire extinguishers, placed throughout this facility, were observed to have been annually inspected on 02/14/2025 by the local fire extinguisher company, Annual Fire Company, and in compliance at this time.

Kitchen area was toured. Facility freezer and refrigerator units were toured. LPAs reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities on site at all times.