Facility Evaluation Report

Licensing Program Analysts (LPAs) Martha Arroyo and Brian Balisi arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. Upon arrival, the LPAs were greeted by the front desk receptionist. The Executive Director (ED) Remon Pagels, met with LPAs shortly after and LPAs explained the reason for the visit.

The LPAs 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 noted: At approx. 9:50 a.m. ,the LPAs observed three (3) random resident bedrooms in memory care and seven (7) random resident bedrooms in assisted living. All resident bedrooms were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPAs observed a sufficient supply of towels and linens.

The LPAs observed ten (10) random resident restrooms during the inspection. All resident restrooms appeared clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels.

In memory care, the hot water temperature was measured at 124 degrees Fahrenheit in two (2) vacant rooms, a technical-violation was issued. Staff made adjustments during the visit and temperature was measured at 113 degrees Fahrenheit. In Assisted living, the hot water temperature was measured in seven (7) random assisted living bathrooms between 10:20 a.m. and 10:55 a.m., the temperature measured between 112.5 – 115 degrees Fahrenheit.

At approximately 10:20 a.m., the LPAs observed the emergency food supply, to be sufficient and properly stored in a storage room on the 2nd floor.