Routine inspection·April 29, 2025

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Heidi Setty, Health Services Director Nathaniel Domingez (LVN) and Memory Care Director (MCD) Andrea Yescas LPA entered the lobby to find well lit common areas with multiple seating areas and a bistro. Required postings were observed. LPA began the facility tour which included randomly selected resident apartments. LPA toured resident apartments in both Assisted Living (AL) and Memory Care (MC) areas of the facility. Apartments were found to be clean, in good repair, containing required equipment, furnishings and lighting. LPA observed required items in bathrooms which were clean with hot water measuring between 105-108 degrees throughout. LPA observed hygiene items, paper products, towels, extra bedding, and linens which were stored and available for use. Residents were observed participating in activities or common areas in both AL and MC. There is a Medication room located in both AL and in MC. The main kitchen is located on the AL side of the facility. The kitchen was found to be clean, organized and in good repair with necessary preparation items and appliances. LPA observed required food supply, emergency food, water, and paper products. Cleaning/disinfecting supplies and chemicals are properly stored and available. Doors and passageways are unobstructed throughout the facility including outdoors. LPAs walked the outdoors to find the grounds well-kept with clear walkways with sitting areas. The Delayed Egress doors from MC to AL were found in working order. Fire extinguishers were charged and serviced 1/14/25 by Fire Systems Solutions. During today’s inspection, LPA conducted resident file review and a medication audit. Due to time constraints, LPA will need to return to the facility to complete this Annual inspection. An exit interview was conducted. This report was signed and a copy was provided to AD.