Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an Annual Inspection of facility and was welcomed by Business Office Mgr. Elizabeth Alfaro, and met with Administrator, John Beltz. Facility is 2 stories and contains both assisted living and two memory care units. There are 43 Assisted Living Apartments and a total of 32 memory care apartments. Facility has approved fire clearance from Petaluma Fire Department for 80 Non ambulatory & 15 Bedridden residents from 5/16/2023. Hospice Waver approved for 12. Facility currently has 44 Assisted Living residents and 39 residents in memory care. Also, there are 7 residents currently receiving Hospice.

Facility tour/inspection began at 8:40 AM:

LPA toured the facility on 5/27/2025 with Executive Director John Beltz; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. The facility has a special care plan of operation and programming for residents with dementia. Fire Extinguisher was found to be last charged on 10/20/2024. Facility smoke detectors with combination carbon monoxide detectors are hard wired and sound directly to the fire station. Smoke/carbon monoxide detectors (last inspection 10/20/2024) and fire sprinklers are inspected annually, and inspection records are current with the last inspection being conducted on 4/15/2025. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occur. Hot water temperature measured between 108.8 degrees F and 120.9 degrees F falling out of Title 22 acceptable regulation of 105 F to 120 degrees F in 2 of 9 resident’s bathroom faucets, boiler was turned down at visit (LIC9102 TA).

There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations. Menus are available and provided during meals.