Routine inspection·June 20, 2024

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the full care tool. LPA met with Executive Director, Parvaneh Manouchehri, and explained the purpose of the visit. Today's census is 83 residents with nine residents on hospice services. Facility is licensed for 120 residents, hospice waiver of 15. During today's inspection, LPA and Executive Director conducted a tour the interior and exterior of the facility. Areas toured included but not limited to: courtyard, memory care unit bedrooms, assisted living unit bedrooms, bistro, main dining, private dining, kitchen, library, and the common areas. LPA observed care staff assisting residents with walking and other activities. LPA observed the facility to be clean, safe and in good repair. File review was conducted for 10 residents and 10 personnel files. LPA observed the files to be completed with the required documents. Inspection tool completed and found facility to be in substantial compliance. Executive Director and LPA discussed today is Executive Director's last day with this role as new director will start effective Monday. At this time, LPA is requesting facility liability insurance to be emailed to LPA by Friday June 28, 2024. No deficiencies observed during today's inspection. Exit interview conducted and a copy of report was provided.