Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso, conducted a Required- 1 Year inspection, on 04/14/25 at approximately 12:45pm, and met with Administrator Assistant Don Rodreick.

The facility is a licensed continuing care retirement community, which consists of residential assisted living residents that are provided care services, and residents that are currently independent, no provided assisted living care needs, at this time. If independent residents need care services at any time, these services may be added per the admission agreement, and the facility's plan of operation.

The fire clearance is approved for Villetta building(1st & 2nd FL)-132 non-ambulatory, includes 8 bedridden, third floor of Villeta building 72 ambulatory only, Casitas #1 through #27, 54 non-ambulatory, and North & South buildings, 64 non-ambulatory. LPAs checked random fire extinguishers, and they were marked and having been serviced and tagged as required.

Hospice waiver granted for five (5) residents.The facility does not have a dementia plan of operation. The facility does have a required "Infection Control Plan." The facility does have an "Emergency Disaster Plan" as required. This plan is kept up in a cabinet behind the concierge desk. There is a concierge staff to the right as you enter the facility.

LPAs observed the emergency lock box with master keys to all rooms, and facility vehicles, accessible to staff as needed in an emergency. The North building and South building, both each have a lock box with master keys for staff use as needed in an emergency. Emergency supplies are stored in both the main building, North building, and South building for use in an emergency. All first aid kits had required first aid guide/booklet.