Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required - 1 year annual inspection. LPA met with General Manager (GM) Billy Mitchell and Health Services Director (HSD), Jocelyn Bailon Saloche.

During visit, LPA toured the facility with the HSD to include the common areas, kitchen, resident bedrooms, bathrooms, and exterior. Facility temperature maintained between 71 to 74 degrees F. All emergency exits were clear of obstruction. Activities calendar and menu posted in a visible area.

It was observed that the only elevator in the facility that goes to Plaza (2nd and 3rd floor) had "out of order" signs posted. GM stated the elevators broke down yesterday on 09/24/2025 around 3:00pm. GM stated that they immediately called the vendor and had a technician come to the facility the same day around 4:30pm - 5:00pm. They were informed that the elevator is still functional however, the doors will not automatically close on its own but the elevator can be operated manually. GM states as of today, if any of the residents want to use the elevator, they need to call a staff to assist them in the elevator. GM states all the staff are trained on how to operate the elevator manually. In addition, they residents (who are able) and staff are using the stairwells. LPA observed the stairwells are equipped with evac chairs. GM states that they are offering in-room dining for residents who rather stay in their rooms and activities on the 2nd and 3rd floor of Plaza. GM is actively working with the vendor to fix the elevator.