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 met with Administrator, Denise Downey. 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 1:00 PM LPA and Administrator 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 21 residents living in the East side of the facility while the West side undergoes a renovation. There were 5 care staff (caregivers, Med Tech., & RN) 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 has been repaired and operable, per Administrator and LPA observation (see pics). Fire Dept inspected 7/7/2025 inspection passed, being sent.

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

No citations issued at today’s inspection.