Routine inspection·June 16, 2026

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1 Year Inspection using the Care Inspection Tool. LPA was greeted and granted entry and met with Executive Director (ED) Geno Koehler. The Executive Director has a valid administrator's certificate expiring July 22, 2026. The facility is comprised of five buildings. The main building is a two story property housing Assisted Living (AL) residents. Buildings A-D are single story housing Memory Care (MC) residents. There are 172 residents in care of which 4 residents are receiving hospice care. Facility is operating within the conditions and limitations specified on the license. LPA toured the physical plant accompanied by ED Koehler, and the following was observed: LPA observed the facility to be clean, sanitary, and in good repair. Hallways were free of clutter. LPA inspected 4 units on the first floor of the main building, 4 units on the second floor of the main building, and 2 units in the memory care building, a total of 10 units and their bathrooms. The residents' units were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. The units and bathrooms appeared clean and sanitary with the exception of large carpet stains observed in one of ten units which will be replaced per ED. Slip resistant mats were observed to be available in the bathrooms. The hot water temperature in the resident bathrooms were within range measuring between 106.3 to 117.6. All shared bathrooms had sufficient supply of soap, toilet paper, and paper towels. The hot water temperature in the shared bathroom of the main building located by the kitchen measured at 139.1 exceeding the required range. LPA tested the carbon monoxide detector panel in each level which were operable. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction, and there is sufficient seating and shading. The exit gates and swimming pool are secured for the safety of the residents. LPA reviewed the Emergency Disaster Plan (LIC610E). Facility maintains a working generator, food supply, and 3 large containers that holds 1700 gallon of water. The fire extinguishers are mounted, charged, and serviced on June 24, 2025. LPA observed facility receives quarterly smoke detector testing which was held on October 27, 2025. Facility staff are receiving quarterly disaster training which was last held on May 21, 2026. LPA observed medications are centrally stored in the medication carts which are stored in the medication room. Toxins, chemicals, cleaning solutions are stored in a locked closet. There are no health and safety hazards observed at the time of inspection. The Complaint Poster (PUB 475) did not meet the required size of 20"x26." LPA conducted a review of ten residents' and five staff files. No discrepancies were noted. The ED was reminded of the importance of ensuring that the hot water temperature is within range as required per the Title 22 regulation and to post the Complaint Poster which meets the 20"x26" size requirement. Based on the observations made, no deficiencies are being cited. Advisory Notes (LIC9102s) are being issued during the visit. An exit interview was conducted with Executive Director Geno Koehler, and a copy of this report was provided at the end of the visit.