Routine inspection·July 16, 2025

Licensing Program Analyst (LPA) Mariana Agban arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by staff at the front desk. LPA later met with Director of Assisted Living Mary Rose Okahata, and the purpose of the visit was explained. LPA conducted a physical tour at 11:30 AM. LPA observed the following: Common Areas: These include the living rooms, dining areas, activity rooms, and other shared spaces. All common areas were observed to be cleaned and properly furnished. The facility maintains a comfortable temperature of 75.0°F. Bathrooms in the common area were observed to have trash cans with lids and infection control prevention signs posted. Hot water temperature was measured from a bathroom sink at 105.1 degrees Fahrenheit. No cleaning supplies or hazardous items were present in common bathrooms during the inspection. Laundry Area: LPA toured the laundry area. No deficiencies observed. Medication Room: The Facility has a designated medication room where medications are kept inaccessible to residents. Fire Alarms are located throughout the facility and are functional. The last fire drill was conducted on 05/17/25. Fire extinguishers are also located throughout the facility with a service date of 07/12/2025. Carbon Monoxide: Alarms are located throughout the facility and are operable. The kitchen area was toured, and LPA observed there to be sufficient one-week non-perishable foods and two days' perishable food for all residents. Bedrooms were randomly selected to tour and were observed to have appropriate furniture and sufficient lighting. Bathrooms were observed to have grab bars and non-skid mats. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with various shaded areas for residents. There is a swimming pool that is fenced all around it's parameters. The fence was at least five foot high with a gate, that is also five foot high. The pool door automatically locks after each entry. (Continue 809 C) Resident Files: LPA conducted a file review of two (2) out of 166 residents to ensure compliance with licensing forms. Due to time constraints, LPA was unable to complete the annual inspection during today's visit. The Assisted Living Director was informed that a follow-up visit will be conducted. Today's the facility complies with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report provided.