Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct a Post-Licensing Inspection and was welcomed by Business Office Mgr. Elizabeth Alfaro, and met with Administrator Deborah Savoie, who arrived later to facility. Facility is 2 stories and contains both assisted living and memory care with a total of 35 Assisted Living and 39 dementia residents in 2 memory care units. There are 9 residents currently on Hospice.

Facility tour/inspection began at 8:35 AM:

LPA toured the facility on 8/22/2023 at approximately 8:35 AM with Business Office Manager (BOM) Lizabeth Alfaro; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on 10/10/2022. Facility smoke detectors are hard wired and sound directly to the fire station. Smoke detectors and fire sprinklers are inspected annually, and inspection records are current with the last inspection being conducted on 7/15/2023. Every resident apartment has an individual smoke detector in addition to hard wired. LPA observed 3 out of 3 Carbon monoxide detectors that were found to be operational. 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 113 degrees F and 121.8 degrees F falling out of Title 22 acceptable regulation of 105 to 120 degrees F in 6 of 10 resident’s bathroom faucets, all 6 in memory care (see LIC809-D). The facility as special care plan of operation and programming for residents with dementia. Facility serves residents without dementia as well.

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.