Facility Evaluation Report

Licensing Program Analysts (LPAs) Martha Arroyo and Valeria Conway conducted an unannounced annual inspection. Upon arrival, the LPAs met with Executive Director (ED), Margie Veis and explained the reason for the visit. Entrance interview conducted.

Beginning at 10:10am, the LPAs started reviewing records which included the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. The last fire safety inspection was completed on 01/15/2025 and was found to be in compliance with Fire Code Regulations at the time of inspections. Emergency disaster drills conducted quarterly as per regulation; the last one being a fire drill on 12/31/2024.

Beginning at 11:15am, the LPAs along with the Executive 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:

RESIDENT ROOMS/RESTROOMS: The LPAs observed five resident rooms and their accompanying restrooms were observed during today's facility tour. All resident rooms were furnished appropriately, with clean linens and appropriate furnishings. The bathrooms were sufficiently stocked with supplies and paper towels. Beginning at 11:30am, the hot water temperature was measured in four assisted living bathrooms and one memory care bathroom, and the temperature measured between 113.4 – 118.4 degrees Fahrenheit.