Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility to conduct an unannounced continuation of the annual inspection that began on April 06, 2026 (04/06/2026). Upon arrival LPA was greeted by front door receptionist and explained the reason for the visit. The LPA met with Executive Director (ED) Ramon Pagels and the reason for the visit was explained. Entrance interview.

During the annual inspection conducted on 04/06/2026, LPA Mosley completed a comprehensive physical plant tour. The tour included, but was not limited to, the common areas such as the mail room, living room, library, bistro, dining room, private dining room, activity room, theater, fitness center, salon, technology center, wellness center, laundry rooms, kitchen, and surrounding outdoor grounds. LPA also observed ongoing activities at the time of the visit. LPA Mosley inspected sixteen (16) randomly selected resident bedrooms, twelve (12) located in assisted living and four (4) in memory care, as well as resident restrooms and common/community restrooms. Additionally, LPA conducted a medication audit and obtained pertinent documentation.

During today’s visit, starting at 10:15 a.m. LPA conducted the entrance interview and a brief physical plant tour to ensure there are no immediate health and safety concerns, and facility is in compliance with Title 22 Regulations. The following was noted: The facility is a three-story building that consists of a secured memory care unit on the second floor and an assisted living unit. The facility is fire cleared for a capacity of 207 residents age 60 and over of which all may be non- ambulatory. Dementia wing rooms 240 to 258 approved for delayed egress. Hospice waiver for ten (10). LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced on 01/02/2026 and are inspected monthly by facility staff. Report Continued on LIC 809-C PAGE 2 ...