Routine inspection·April 22, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year inspection and met with facility Executive Director/Administrator (ED/ADM) Val Baldugo-Macasieb and stated the purpose of the visit. The facility serves age 60 and over, 140 non-ambulatory, 21 may be bedridden and hospice waiver for 15. LPA toured the interior of the facility, including entryway, common room, dining room, kitchen and food storage, laundry room, resident bedrooms, bathrooms, medicine room, and activities room, Assisted Living and Memory Care area of the facility. All emergency exits are clear from obstruction. Facility has activities scheduled posted for the whole month. LPA observed residents participating during activity time. LPA observed water in the hallway restroom are regulated to deliver water temperature that is not too hot nor too cold. The water temperature measured from 118 to 120 degree F. Memory Care exits are equipped with delayed egress and working audible alarms. LPA observed rodent traps under the counter in the Memory Care unit. The kitchen is equipped with commercial grade refrigerator and freezer and doors to the kitchen have locks when not in used and are not accessible to residents. LPA observed emergency drinking water supply, 2 days of perishable food and 7 days for non-perishable food. The facility has snack bars in the activity areas. The facility is equipped with fire alarm and carbon monoxide alarm system that alerts the fire department. The facility has fire extinguishers that were last inspected in May and June of 2024. continued to LIC 809C page 2 The residents room have sufficient and ample storage for the assisted living and memory care units. Rooms were observed to be sanitary and organized. The facility has fire and disaster drill training that was administered on 2/21/2025 by Fire Safety Service, Inc. The facility maintains Ecolab to monitor and exterminate possible pest in the Memory Care Area. ED/ADM stated Ecolab comes to the facility each month and or as needed to monitor the traps set at the Memory Care kitchen area. Due to time constraint the required 1 year annual inspection will be continued at a later date. No deficiency was cited during today's annual required visit. An exit interview was conducted with Executive Director/ Administrator Val Baldugo Macasieb and a copy of the report was provided.