Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso, conducted a continued annual inspection, on 05/13/25 at approximately 2:00pm, and met with Administrator Assistant Don Rodreick. Annual inspection was started on 4/14/2025, see LIC809.

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 three hundred and twenty-two (322) as follows: 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.

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.

Per record reviews, emergency disaster drills were conducted as required; Last emergency drills were an evacuation drill on 2/26/25, and a fire drill on 3/17/25.

The LPA reviewed eight (8) staff files, including all required training, LPA reviewed medication training for staff that assist residents' with medications. Direct care staff had first aid and CPR as required by their position. All staff have criminal record clearance as required.

There were no deficiencies cited during today's inspection.

Exit interview conducted with Administrator Assistant, Don Rodreick.