Inspector’s narrative
What the inspector wrote
On 12/23/2025 at 8:31, Licensing Program Analysts (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Executive Director, Apolinario ‘Paul’ Gozon, and Business Office Manager Raul Pereira, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve (137) non-ambulatory elderly adults ages 60 and above, which (13) may be bedridden. The facility has been approved for delayed egress in the memory care and transitional units.
Physical Plant/Structure
The facility is located in a commercial area. It consists of two buildings, one building is designated for Assisted Living and Memory Care residents and has two (2) floors. The additional building is for Memory Care residents and has three (3) floors. There is a total of (54) Assisted Living units and (55) Memory Care units, kitchen, dining rooms, theater room, multipurpose room, bistro areas, business offices, beauty salon room, emergency food supply room, multiple storage rooms, janitor closet, medication stations, caregiver stations, employee lounge, therapy room, and five (5) outside shaded patio areas with tables and chairs. LPA did not observe any bodies of water on the premises. LPA observed all walkways and passages outside the facility to be clean, clear, and free of obstructions, debris, and hazards.
Resident Rooms
During the facility tour, LPA inspected ten (10) resident apartments and observed them to be clean and in good repair. The resident rooms inspected were rooms 105, 109, 206, 307, 310, 113, 120, 205, and 225. Resident’s apartments are furnished with their personal furniture. LPA observed all apartments have the required furniture including a bed, dresser, nightstand, chair, and ample storage space for personal belongings. LPA observed beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. Linens are supplied by the residents, but the facility does have a storage room with linens, and blankets in case a resident needs an additional supply. The water temperature in resident rooms measured between 105-degrees and 120-degrees Fahrenheit.
Common Rooms
LPAs observed the facility to be appropriately furnished during time of visit. LPA observed the game room to have ample tables, chairs, and a couch to accommodate residents. LPA observed an ample supply of games, puzzles, and reading material, additionally the room had a television and a computer available for residents’ use. LPA observed the multipurpose/activity room to have tables and ample chairs. LPA observed an ample supply of arts and craft supplies available for resident use. The activity schedule was posted outside the door. The dining room had multiple tables and chairs to accommodate residents. LPA observed snacks and drinks are available for residents in the bistro area. The facility was maintained at a comfortable temperature. All rooms, walkways and hallways in the facility were observed with ample lighting. LPA observed all walkways and hallways to be clean, clear, and free of obstructions and hazards.
Kitche
n LPA inspected the facility’s industrial kitchen and found it to be clean and sanitary. LPA observed all appliances to be in good working repair. LPA observed an ample supply of cookware, dishware, and cutlery in good repair. LPA observed a 3-day supply of perishable and a 7-day supply of nonperishable foods properly labeled, dated, and stored. LPA reviewed the temperature logs for the freezer and the refrigerator. LPA observed the monthly menus posted in the dining room and at the entrance of the dining room. LPAs observed all cleaning supplies secured in a locked storage room and are inaccessible to residents.
Safety
LPA observed multiple fully charged fire extinguishers last serviced on 10/20/25. The last annual fire inspection was conducted on 09/19/25. LPA observed smoke detectors and carbon monoxide detectors to be operational. LPA received and reviewed a copy of a current Emergency and Disaster Plan (LIC610E) last updated on 01/16/2025. The last Emergency Drill was conducted on 10/16/25. The facility does have a working landline telephone. LPA observed all required posting throughout the facility. LPA reviewed the maintenance logs for the two (2) generators. Staff started and ran the generators.
Medications
LPA observed Centrally Stored Medications secured in a locked medication cart in the locked medical room. LPAs observed all medications to be in their original containers. LPA reviewed the medications and Medication Administration Record (MAR) for ten (10) residents. Ten (10) out of ten (10) residents’ MARs and medications are consistent with properly documented records.
Files
LPA reviewed ten (10) resident files and found they contained the required documents. LPA reviewed the Administrator and six (6) staff files and found they contained the required documents, clearance, certification, and training. LPA received and reviewed a copy of the Liability insurance through Acord valid till 11/11/2026. During file review, LPA observed the Licensing Fees are current.
Infection Control
LPAs observed multiple hand sanitizing stations throughout the facility. LPAs observed an ample supply of hand soap and paper towels. LPAs observed required infection control signs posted throughout the facility. LPAs observed a 60-day supply of Personal Protective Equipment (PPE).
During today's visit, LPAs did not observe or cite any deficiencies.
An exit interview was conducted with Business Office Manager, Raul Periera and a copy of this report was provided.