Facility Evaluation Report

Licensing Program Analyst (LPA), Cuadra arrived unannounced to conduct a Required -1 Year visit, and met with Administrator Karina Tapia. Facility has an approved dementia care plan. There are 77 residents in Assisted Living and 22 residents in Memory Care for a total of 99 residents in care. There are residents receiving hospice care services within the approved hospice waiver. Required postings were observed.

LPA/Administrator toured the facility which included an inspection of assisted living and memory care, all common areas, hallways, and bathrooms observed had sufficient lighting. Residents rooms are furnished per regulation. The memory care unit is on a delayed egress system and a locked perimeter courtyard for resident use, which it was approved in their fire clearance. There are evacuation chairs located at each stairwell. The elevators were last inspected on 7/16/25 and permit expires on 7/16/26. The facility was a comfortable temperature. Passageways were free of obstructions. Facility has a sufficient supply of cleaners, hygiene items and paper products. Multiple first aid kits were observed. A call button is located in each bathroom, LPA tested the call system in resident's rooms and staff response time was under three minutes. A tour and inspection of the kitchens and dining areas were found to be clean and sanitary. The kitchen was observed to have a sufficient supply of perishable and non-perishable food. Refrigerators and freezers were at required temperatures. Prepared and left over foods were covered and labeled. Menu includes a wide variety of foods from all of the food groups. A board in the kitchen has written instructions for residents with food allergies and restricted diets. The facility has emergency supplies, including food and water to meet requirements of the 72-hour shelter in place. The facility has a generator in case of power outages.

At approximate 9:28am and 9:43am, LPA/Administrator observed one maintenance shop and two laundry rooms located in assisted living unit were unlocked. Other cleaning products that were observed on the floor were supervised and/or locked carts. Continued on LIC 809-C...