Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen and Licensing Program Manager, LPM Liza King arrived unannounced to conduct a annual inspection of the facility. The LPA and LPM met with the Executive Director Jackie Hernandez to explain the purpose of the visit.

A physical inspection was completed, including but not limited to the bedrooms/bathrooms, the kitchen, the exterior and emergency route gate, the memory care unit, the common areas, and storage areas. Traffic areas are unobstructed and well lit. The fire extinguishers are dated may 6 2026, and the first aid kit has all necessary components. there are some ongoing repairs of the air conditioning, (a condenser tray leaking), the Maintenance director provided that the facility was probably going to replace the unit. at the time of the annual inspection, the air temperature within the facility is in range 68-85, and the LPA gave guidance that temperature should be maintained for the residents through the repair/replacement of the unit.

Bedrooms * bathrooms: One of 6 observed bedrooms was malodorus for R1. LPA gave guidance that increased housekeeping checks should be included with the care plans for those residents with with inconteince issues. 5 of 5 resident rooms checked have functional bathroom hardware(sink facuets, showers, toilets). Water delivered at the sink measured between 110 and 115. 6 of 6 Bedrooms are furnished with required furniture, bathrooms have secure grab bars.

Kitchen: Perishable/nonperishable food storage is at a capacity for 2/7 days for 65 residents plus 3 snacks per day, the sharps and toxics are stored seperately from each other and secure from the residents. Food for the residents is able to be held within the walk in, and a snack bar is maintained for resident access between meals. 4 residents have a concern about increasing menu options, specifically the availability of vegetables. The facility had a recent resident council and a meal suggestion survey where the issue was raised, and the LPA gave guidance that grievance procedure process should play out from here.