Facility Evaluation Report

LPA Audrey Jeung toured facility, which consists of 4 floors; assisted living residents reside on all floors. Memory care residents reside in 21 rooms on ground level and 20 rooms on second floor; both of these units are secured with egress alert devices and have a designated dining room. In addition, there are 7 designated rooms on fourth floor reserved for residents with severe dementia, as well as a separate dining room. Most units have wet bars with small refrigerators. All units have an emergency signal system which consists of pull cords in bathrooms and living areas, which sends an audible alert to staff on their cell phones. Operable carbon monoxide detectors are installed in each apartment. There are no accessible bodies of water or fire safety hazards observed. Emergency drills are conducted monthly and documented. Medications are stored in locked medication carts. A comfortable temperature is maintained, passageways are clear, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and there are benches installed in shower stalls. Hot water temperature tested in clients' bathrooms between 116 and 117 degrees. Fresh and non-perishable food supplies are maintained. Quarterly food and dietary audits are conducted and documented; copy of last audit by registered dietician dated 2/13/26 is provided. First-aid kit is inspected. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed Transcripts of staff training are provided today for review. Random client files are reviewed. Staff records--including training--will be reviewed at a later date.

Executive director Tyler Manzo is a certified RCFE administrator (x 5/27) that oversees facility operations.

The following information is provided to LPA today:

Deficiency of the California Code of Regulations, Title 22 is cited on following page.