Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a 1 year required inspection and met with Executive Director Karrie Silvey. There is an approved hospice waiver for nine (9) residents. The facility has 141 residents in Assisted Living and Memory Care.

LPA reviewed five resident files and four employee files and found them to be complete.

All postings were up and visible as required. Toxins are stored in locked cabinets. There was a supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored and locked in the medication room and on the medication carts making them inaccessible to residents and only medication technicians are allowed to handle medications. Facility uses an E-MAR program for medication administration. The kitchen was clean, well-organized and well maintained. Food storage was as per regulation and there were adequate perishable and non-perishable food items as required in Title 22 regulation. Staff were practicing proper hygiene and food-handling. The dining room was clean, and set up with room for residents to practice social distancing or take meals in their apartments as cases of Covid have shown up in the community. Staff are working to mitigate the spread by practicing heightened infection control practices. The Activities Program keeps a very full calendar of events each day, including Yoga, Choir, Excursions, Bingo, Arts and Crafts.

The fire extinguishers were last inspected on 07/03/2025. The last Emergency Fire Drill was on 07/12/2025 for the AM shift. The Fire Alarm Inspection took place on 04/29/2025.

LPA discussed training documentation and the memory care unit.

LPA requested proof of liability insurance, LIC500, staff and resident rosters.

Exit interview conducted with Karrie Silvey, Executive Director.