Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 10:30 a.m. The LPA was greeted by staff and Executive Director (ED) Christian Castillo and informed them of the reason for the visit.

At 11:00 a.m. the LPA conducted a tour of the physical plant with the ED to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a four (4) story residence that consists of assisted living units on all floors and a memory care unit on the second floor. The LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced 07/18/2024. Smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed required postings near the mail room hallway. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.

KITCHEN : The LPA began the inspection in the kitchen/food service area at 11:00 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.

COMMON AREAS: The LPA 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. The LPA observed the stairwells and they each had an emergency evacuation chair.

BEDROOMS: The LPA observed ten (10) randomly selected resident bedrooms, which were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. Bedroom #249 was observed with a lot of dirt/crumbs on the carpet. Bedroom #233 was observed with a lot of dirt/crumbs on the carpet. Report will continue on LIC809-C, 2nd page.