Facility Evaluation Report

Licensing Program Analysts (LPAs) Kelly Dulek and Emily Peraldi arrived at the facility unannounced to conduct a required annual visit at 09:13AM. LPAs were greeted by facility staff and initially met with Esmeralda Elizarraraz and explained the reason for today’s visit. Administrator Monica Reyes arrived shortly thereafter. Entrance interview conducted.

Beginning at 09:44AM, the LPAs, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS: The facility consists of 107 total bedrooms, of which LPAs observed 10 resident bedrooms; 2 in the Meadows (Memory Care) and 8 in Assisted Living. All resident rooms observed were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. At 09:52AM, in Resident #1 (R1)’s room LPAs observed the following: Mucus DM Extended Release, Vicks VapoRub, Beta Prostate Max, Calmoseptine, A&D Ointment, Remedy Phytoplex Clear-Aid Ointment and other various medications.

RESTROOMS : Each resident room contains its own private restroom. Resident restrooms observed contained sufficient grab bars and non-skid surfaces. At 10:02AM, in Room 415, water temperature measured at 126.7 degrees Fahrenheit. At 10:08AM, in Room 403, water temperature measured at 124.1 degrees Fahrenheit.

COMMON AREAS : Consisting of the lobby, library, activity room, dining room, bistro, and movie room in the Assisted Living side and activity room and dining room in the Meadows side. The LPAs observed common areas to be relatively clean and properly furnished at the time of the visit. The LPAs observed the fire extinguishers to be fully charged and last serviced on 02/08/2023. All hardwired smoke alarms as well as