Routine inspection·November 24, 2025

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility. LPA was greeted by the administrator and disclosed the purpose of the visit. LPA conducted a tour of the physical plant to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations. There is main entrance at the front of the building and another entry through the subterranean parking garage. The facility has a total of seventy-three (73) bedrooms with private bathrooms, and four (4) public restrooms. Showroom and resident rooms were observed to be appropriately furnished. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas observed to be clean. Sharps observed to be locked and inaccessible to residents. The dining areas observed to be clean, free of hazards, and have adequate sitting. are neat and clean. Laundry room appliances on each floor were observed to be functional. The smoke and carbon monoxide detectors are hardwired and interconnected. Fire extinguishers are located throughout the facility and observed to be fully charged. Toxins stored in storage closet on 2 nd floor observed to be locked and inaccessible to residents. The residents' rooms have appropriate lighting and are adequately furnished. Hallways are well lit. Hygiene products are provided by the licensee. The public bathroom’s hot water temperature was measured at 113.9°F -115.3. There is an adequate supply of clean linen available to residents. LPA observed medication room to be locked and inaccessible to residents. Facility maintains a complete first aid kit in medication room and in business manager office. Liability insurance policy valid from 01/01/2025 to 01/01/2026. At approximately 11:40 am to 1:45 pm, LPA reviewed four (4) random staff files and seven (7) resident files. Staff files had the appropriate training courses to include first aid and CPR. Resident files included admissions agreements and functional appraisals. Deficiency noted on 809D. Technical advisory noted for Fire clearance issue. A case management visit may follow to address fire clearance and flooring on 3rd floor. Exit interview conducted. Copy of this report issued.