Facility Evaluation Report

Licensing Program Analysts (LPAs), Martha Arroyo and Valeria Conway conducted an unannounced annual inspection today. Upon arrival, the LPAs were greeted by the front desk concierge and shortly after met with Executive Director (ED), Kellie Smith, and the reason for the visit was explained. Entrance interview.

Starting at 09:55am, the LPAs along with ED 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:

Resident Rooms / Restrooms: The LPAs observed six (6) resident rooms in the Assisted Living (AL) side and two (2) resident rooms in Memory Care (MC). All resident rooms were furnished appropriately, with clean linens and appropriate furnishings. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 10:10 a.m., the hot water temperature was measured in eight (8) total bathrooms in both AL and MC bathrooms. Four (4) out of eight (8) bathrooms measured between 120.6 and 128.7 degrees Fahrenheit which is above the required range of 105 – 120 degrees Fahrenheit. Staff adjusted the water temperature at the time of the visit.

Kitchen: Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. The LPAs observed sufficient perishable and non-perishable foods to meet the minimum two-day and seven-day supply of food and water. Refrigerator and food pantry were checked for proper labels and expiration dates. The LPAs observed an adequate amount of emergency food and water; properly stored.