Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced for a post-licensing visit at 11:15 a.m. The LPA met with Executive Director Brad Stewart and explained the reason for the visit.

The LPA and Executive Director 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 Spaces: The facility layout includes a garden/subterranean level, the first floor, and the second floor. The garden-level amenities include the main kitchen and dining area, theater, gym, salon, and physical therapy room. The first floor includes the Bistro, activity spaces, and a small outdoor courtyard adjacent to the Bistro. The second floor has several common spaces and a Wellness Center. All indoor and outdoor passages were clean and free of obstruction. There was hands-free sanitizer interspersed throughout the common grounds. Other required postings were posted on the first floor near the elevator.

The LPA toured resident rooms in the Memory Care unit and rooms appeared clean and well maintained. The delayed egress was tested in the memory care unit and was functional at the time of the visit.

There were no obstructions and/or tripping hazards throughout the facility. The fire extinguishers were charged and last serviced 6/2022. Smoke Detectors and Carbon Monoxide detectors were tested within the past 12 months and were operable. Activity rooms and common spaces in both the Memory Care Unit and the Assisted Living areas appeared clean and in good repair.

Bathrooms: Bathrooms were equipped with grab bars and non-skid surfaces. During today's visit, water temperature was tested, and water temperature ranged between 108.6 - 110 degrees Fahrenheit. Bathrooms were stocked with soap and paper towels, and signs promoting good hand hygiene were observed in common restrooms.