Facility Evaluation Report

At approximately 9:20 AM Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conduct a Non-Compliance Conference (NCC) inspection and was greeted by the Resident Care Coordinator who showed LPA to General Manager Kathy Neeser to advise of today's inspection. Administrator Fernando Valadez arrived shortly to further assist with today's NCC inspection.

The facility was put on an NCC plan for 2 years ending on 04/29/2028 to bring the facility into compliance.

The purpose of today's inspection was to follow up on areas of prior concern in the operation of the facility operation identified by the department including, but not limited to:

Ensure that all staff are trained on basic first aid per regulation

En sure that all staff are trained in the needs and services of residents, including the special needs of residents (including swallowing issues and other dietary needs)

LPA toured the facility and found the building and grounds to be clean and well-maintained. A tour of the hospice unit found the care staff to be attentive and familiar with the special needs of the hospice residents, including any swallowing issues and/or dietary needs. An inspection of the dining room found a caregiver on duty during lunch. Administrator stated that a care staff is in attendance during all meals to aid in any dietary needs.

LPA reviewed the training records of med. techs and care coordinators of all departments and found all to have current first aid/CPR certification.

The facility uses an on-line course for all staff. In addition, an in-person training was held on 5/7/2026 for all staff.