Facility Evaluation Report

Licensing Program Analyst (LPA) Coppo conducted an unannounced annual inspection and met with Administrator Robert Rubio. There are currently 10 residents living in the Assisted Living (AL) portion of the facility and 69 residents living in the Independent Living (IL) portion of the community. Two [2] residents were receiving hospice care at the time of the visit. Required postings were observed.

At approximately 1:30pm LPA and Admin toured assisted living portion of the community including the resident rooms/apartments, activity rooms, grounds and kitchen (located in the assisted living). All interior parts of the facility were found to be a comfortable temperature. Exits and pathways were free from obstructions. Hot water temperature measured between 119.7 and 109.5 degrees F which is within regulation of 105 to 120 degrees F.

LPA observed at least a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food quantity and quality stored in a safe manner for residents in care and staff as well as an emergency food supply. Bathrooms contained necessary grab bars and non-skid strips. Meals are prepared in the main kitchen and brought to the dining room in the AL portion of the community for residents living there.

Fire extinguishers were current and charged as of 4/4/2024. Fire alarm system was tested and inspected by Santa Rosa Fire Equipment Inc on 4/22/24. Latest disaster drill was conducted on 9/3/24.

At approximately 2:00pm LPA conducted a review of 10 resident records. Residents R1 and R2 did not have a TB clearance on file ( deficiency, cited, see 809D )