Facility Evaluation Report

Licensing Program Analysts (LPAs) Brian Balisi and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at approx 9:45 a.m. Upon arrival, the LPAs were greeted by the front desk receptionist. The Executive Director (ED) Christina Spears, 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:

The LPAs inspected the kitchen/food service area at 10:40 a.m. Knives and other sharp objects are stored and inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked.

At approx. 10:50 a.m. ,the LPAs observed randomly selected resident bedrooms in memory care and 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. 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. The water was measured between 105 - 120 degrees Fahrenheit. At approximately 11:00 a.m., the LPAs observed the emergency food supply, to be sufficient and properly stored in a storage room on the 2nd floor.

LPA's observed furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. Activity Rooms were observed to be clean and well maintained at the time of visit. The fire extinguishers were fully charged and were last serviced 07/18/2024. The LPAs observed required postings throughout the common space.