Facility Evaluation Report

On December 29, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Director of Health Services, Amyda Astrero and explained the purpose of the visit.

LPA toured the facility inside and outside but not limited to, five resident neighborhoods; maple, cedar, bay, twin pines and oak, one main administrative office, library, and kitchen. No accessible bodies of water or fire safety hazards observed. This is a locked perimeter facility. LPA toured resident neighborhoods and observed a dining room in each neighborhood. Hallways and resident rooms were observed to be clean, odor-free and free from tripping hazards. Nurses/wellness office was observed in Oak and Maple neighborhood. Medications were observed to be locked and inaccessible to residents. Chemicals and sharps were locked and inaccessible from residents.

Water temperature throughout the facility measured between 105-117 degrees F. Communal bathrooms were observed to be clean and odor-free. Kitchen was observed two day perishables and seven day non-perishables. A comfortable temperature is maintained and lighting is sufficient for comfort. Fire extinguishers were serviced in 10/2025. Emergency drills are logged and done every three months.

LPA reviewed 5 resident files and 5 staff files. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No citations are issued during the visit. Report is reviewed with Director of Health Services and a copy is provided.