Facility Evaluation Report

At 8:40am on 06/23/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Administrator, Nithi Narasappa, announced who he is and the reason for the visit.

Administrator and LPA conducted a physical tour of the facility. This facility has seventy resident rooms, fifty five assisted living rooms have their own on suite bathrooms and fifteen memory care rooms have shared bathrooms. There are two outdoor patios with shading and seating for activities and visitors. Two dining areas, one large facility dining and a smaller privet dining room. The main lobby has additional room for indoor activities, there is a gym, arts and crafts room, and a television room for residents. LPA conducted a physical inspection of sample rooms and noted all rooms have licensing required furniture and linin. LPA noted that fire extinguishers are placed throughout the facility all primed and in the green that were inspected. LPA noted that Low Voltage Solutions Inc. conducted an annual fire inspection on 10/30/2025 indicating visual and functional test as normal. LPA noted that the facility is clean and in good repair with all exits and hallways free of obstruction. LPA noted that the kitchen has at least two days of perishable and at least 7 days of non perishable foods on hand for 83 resident and staff. LPA noted and tested assorted water temperatures throughout the facility to be within regulation requirements. LPA reviewed Emergency Disaster Plan, Infection Control Plan, sample staff and resident files. LPA reviewed all facility personnel have background clearance and noted one employee not present on Guardian Roster, and one "In Progress" on Guardian Roster who were on facility schedule, citation issued (87355(e)).

Administrator and LPA conducted a full review of annual care tools. LPA noted that there were no additional violations or citations on the annual control tools. LPA cited for 2 personnel not properly cleared

Exit interview, report read, appeal rights and report provided