Facility Evaluation Report

Licensing Program Analysts (LPA’s) Elsie Campos, Ashley Smith and Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 10:10 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Activities Program Coordinator Alejandra Martinez met with the LPA’s. Administrator Cyntia Drachenberg arrived thereafter.

The LPA’s and the Activities Program Director began the tour of 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.

KITCHEN: The LPAs began the inspection in the kitchen/food service area at 10:55 a.m. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:00 a.m., the LPAs and Chef Manager Fabian Munoz observed a variety of breads near the entrance to the kitchen to be expired. Expired breads found were hot dog bread expiration date May 1 st , 2023, Bagels expiration date May 15 th , 2023, hamburger bread expiration date May 21 st , 2023, wheat and white sandwich bread expiration date May 22 nd , 2023. The Chef Manager stated that the bread vendor usually checks for expired breads and replaces them accordingly and did not check themselves as bread was delivered yesterday 5/23/2023 and that they would ensure to check in the future. In addition, the LPA’s observed multiple boxes of grits with the expiration date of April 18, 2021.

COMMON AREAS: Units designated for assisted living residents are on all four floors and there is a separate unit on the second floor designated for memory care residents. There was hands-free hand sanitizer interspersed throughout the common grounds. The LPA’s toured all four floors and common spaces in both the assisted living and memory care unit. Activity rooms and common spaces were clean and in good repair. No obstructions and/or tripping hazards observed. At 11:16 a.m., the LPA’s observed an unlocked housekeeping closet on the first floor, which had accessible cleaning supplies.**Continued on LIC 809-C**