Facility Evaluation Report

Licensing Program Analysts (LPAs), Martha Arroyo and Brian Balisi conducted an unannounced annual inspection today. At approx 09:50 a.m. LPAs met with Executive Director (ED) Kellie Smith and explained the reason for the visit.

At approx 10:30am, the LPAs along with the Executive Director and Maintenance Director, 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:

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 and food labels had expiration date clearly marked.

LPAs observed ten (10) resident rooms total six (6) in the assisted living side and four (4) resident rooms in memory care. All resident rooms were furnished appropriately, with clean linens and appropriate furnishings. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 10:38am, the hot water temperature was measured in seven (7) assisted living bathrooms and four (4) memory care bathrooms, between 109 – 117.4 degrees Fahrenheit.

The common areas on the first floor consists of the bistro, 2 separate dining areas, a living room, movie room, and multiple activity rooms. Also, on the first floor were observed several offices, staff lounge, a copy room, and a supply room. The second-floor common areas consists of the beauty salon, dining room, leisure/lounge room, offices, and multiple other activity rooms. LPA's observed common areas to be clean and in good condition. There are games and/or activity supplies in the activity rooms as well as throughout the facility.