Facility Evaluation Report

Licensing Program Analysts (LPA) Angela Barutyan at the facility unannounced to conduct a required annual visit at 11:10AM. LPA met with staff and Executive Director (ED) Zachary “Zak” Howell. Entrance interview conducted.

Beginning at 11:27AM, the LPA, along with the ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

LPA observed fire extinguishers on every floor which were last serviced on 09/12/2024 and not within the last 12 months. ED scheduled the annual fire extinguisher servicing for the current year during the visit. Fire alarm devices are tested annually by Academy Fire Life Safety and were last tested 08/06/2025. Delayed egress door in the memory care unit was tested at 11:39AM and was functional at the time of the visit.

COMMON SPACES/AMENITIES: Common areas include the dining area, theater, gym, salon, physical therapy room, the Bistro, game room, arts and crafts room, a small outdoor courtyard, and a Wellness Center. Several common living spaces were observed throughout the facility. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in the hallways. The emergency telephone numbers are posted in the entryway. Other required postings are posted on the first floor near the elevator. LPA observed the Ombudsman Poster and DSS Complaint Poster throughout the community. LPA observed pull cords available in the residents’ rooms and observed residents to be wearing signal pendants.