Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Martha Arroyo arrived at the facility at 9:30 A.M., for an unannounced required annual inspection. LPAs met with Executive Director, Kenneth “Ken” Mahler and discussed the reason for the visit. Entrance interview conducted.

Beginning at 9:40 A.M., the LPAs along with the ED and the Maintenance Technician, Daniel Mitchell, 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 facility is a two-story and ground floor building. The following was observed:

A fire alarm inspection was conducted by Johnson Controls Fire Protection on 05/20/2026, all deficiencies noted on report were repaired and/or corrected. Several fire extinguishers throughout the building were observed to be fully charged and last serviced on 10/11/2025. At 9:45 A.M., carbon monoxide alarm was tested and properly functioned at the time of the visit.

RESIDENT ROOMS/RESTROOMS: A random selection of 9 (nine) resident rooms in the assisted living side and two (2) random resident rooms in the Life Guidance (Memory Care) were observed. All resident rooms were furnished appropriately, with clean linens and appropriate furnishings and were equipped with a refrigerator, sink, and microwave and contain private restrooms. The bathrooms were observed to be safe and sanitary with grab bars and slip-resistant surfaces and were sufficiently stocked with supplies and paper towels. Starting at 9:42 A.M., the hot water temperature was measured in all rooms inspected and was within the regulation range of 105-120 degrees Fahrenheit.