Facility Evaluation Report

On November 4, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Regional Operations Specialist, Tammie Sampedro and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two building facility; Assisted Living (AL) and Memory Care (MC). AL has three floors and MC has two floors. A random sample of resident rooms in AL and MC were toured. All resident rooms were observed clean, odor-free, equipped with all required furniture. Resident bathrooms and communal bathrooms were observed to clean and in good repair. Water temperature throughout the facility measured within regulatory requirements. Communal areas including but not limited to dining room, living rooms, private dining area, etc. were observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of

October 2024. Emergency drills are logged and done every three month. LPA reviewed 5 resident records and 5 staff records. 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 Regional Operations Specialist, Tammie Sampedro and a copy is provided.