Facility Evaluation Report

Licensing Program Analysts (LPA’s) Elsie Campos, and Zabel Chochian arrived at the facility unannounced to conduct a required annual visit at 9:20 a.m. The LPA's were greeted by staff and Administrator Sherry Nazari and informed them of the reason for the visit.

The LPA’s and the Maintenance 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. Refrigerator and food pantry were checked for proper labels and expiration dates. LPA's did not observe a supply of emergency food and water supply. COMMON AREAS: At the time of the visit, 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. 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. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were last inspected on 7/11/23 by COBOS Fire & Safety. The fire extinguishers were fully charged and were last serviced 07/11/2023 by COBOS Fire & Safety. The LPA's observed required postings near the mail room hallway. The LPA's observed the stairwells and they each had an emergency evacuation chair. At approx. 11:40 a.m. – LPA’s observed multiple residents doing an activity with the activity’s director in the 1 st floor common area. BEDROOMS: At approx. 11:45 a.m. the LPA's observed twelve (12) randomly selected resident bedrooms, which were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. Bedroom #319 was observed to have temperature at 83 degrees F. Interview with resident and staff revealed that this room has had consistent issues with temperature adjustment and room was too hot for resident. ** Continued on LIC 809-C**