Facility Evaluation Report

On 4/3/2025, Licensing Program Analyst (LPA) Hansen arrived unannounced for the purpose of conducting a Case Management-Legal/Non-compliance Inspection and was greeted by Business Office Manager (BOM) April Postal, Administrator, Denise Downey arrived later. This facility was placed on a non-compliance on 4/17/2024 for a two-year term, and CCL conducted a Subsequent Non-Compliance Conference on 3/21/2025. Facility underwent a change of Management to Onelife Senior Living LLC on 2/26/2025 implementing new Administrator Downey.

At approximately 12:45 PM LPA and BOM conducted a walk-through of facility, finding it at a comfortable temperature and observing all exits free from obstruction and front door locking mechanism operational. There are currently 22 residents living in the East side of the facility while the West side undergoes a renovation. There were 5 care staff observed during this inspection along with, kitchen staff, housekeeping, and administration.

The kitchen was observed with an ample supply of fresh and non-perishable foods, as required per Title 22. The facility was found to be in a safe and comfortable condition with proper heating system and electrical utilities in order. Facility is also equipped with working auditory alarms and egress exits for residents with dementia. Faulty Fire panel is still in the process of being repaired, per Fire Dept requirement, LPA observed Fire watch log updated and still in place.

Discussed the following topics with Administrator: Reporting requirements, security camera’s, SIR’s, and expired medications.

No citations issued at today’s inspection.