Facility Evaluation Report

Licensing Program Analysts (LPA)s Valeria Conway and Martha Arroyo arrived at the facility at 9:30 A.M., for an unannounced annual inspection. Upon arrival, LPAs met with Administrator Michael O’Neill and explained the reason for the visit. Entrance interview conducted.

Beginning at 10:28 A.M., the LPAs along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

5-Year fire sprinkler inspection was completed on 09/15/2023, with an annual fire alarm test and inspection record conducted on 06/03/2025. As of today, all deficiencies have been cleared. Fire extinguishers throughout the building were observed to be fully charged and last serviced on 08/20/2025. At 11:54 A.M., carbon monoxide alarm was tested and properly functioned at the time of the visit.

ASSISTING LIVING ROOMS: There are 60 Assisted Living units and can be found on the first and second floors of the building. Assisted Living units are equipped with a refrigerator, sink, and microwave and contain private restrooms. A random selection of 4 (four) resident rooms were observed. Residents’ rooms were observed to be furnished appropriately and contained appropriate bedding/linens. Bathrooms were observed to be safe and sanitary with grab bars and slip-resistant flooring. Hot water temperature was measured in four (4) bathrooms. All four (4) bathrooms inspected in the Assisted Living unit measured above the required range of 105 to 120 degrees Fahrenheit.