Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced at 9:20 a.m. for a required one year / post licensing visit. The LPA met with Executive Director Ronda Wilkin and explained the reason for the visit.

At 10:57 a.m., the LPA 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.

COMMON AREAS: The facility is a two-story building. On the first floor, there are the kitchen facilities, dining room, Bistro, laundry rooms, Wellness Center, office spaces, and common restrooms. On the second floor, there is a sensory room, beauty salon, spa, Wellness Center, second floor dining, a private dining space, several activity spaces, office spaces and common restrooms. The LPA observed common areas to be clean and in good condition. There were no obstructions and/or tripping hazards throughout the facility. There were cameras in the common areas, outdoor courtyard, and exterior perimeter. Required postings were found in the hallway on the first floor. There are fire extinguishers throughout the facility, which were serviced 6/2021.

There are three outdoor gated courtyards; two are on the first floor and one is on the 2 nd floor. The LPA observed outdoor furniture, with a covered shaded area for residents. There were no bodies of water observed during today’s visit. Delayed egress was tested on two exits and they were operational at the time of the visit.

KITCHEN: The main kitchen is located on the 1st floor. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. Facility uses Sysco Foods for food deliveries, and food delivery takes place twice a week. There was a sufficient supply of perishable and non-perishable food. Food appeared to be of good quality.

RESIDENT ROOMS: The LPA observed randomly selected rooms on the first and second floor and no immediate health or safety hazards was observed. Restrooms were clean, with properly installed grab-bars in resident bathrooms and non-skid strips in shower tubs. Appropriate furniture was also observed in the units.