Routine inspection·March 25, 2026

Licensing Program Analysts (LPAs) Quoc Huynh and Kelly Dulek arrived unannounced at 09:40AM for a required one year visit. The LPAs initially met with Health Services Director Heather Hampel and explained the reason for the visit. Administrator joined shortly thereafter. Entrance interview conducted. Beginning at 11:09AM, the LPAs, along with Health Services Director toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: The facility is a two-story building. On the first floor, there are the kitchen facilities, dining room, Bistro, laundry rooms, Wellness Center, fitness center, office spaces, and common restrooms. On the second floor, there is a beauty salon, spa, Wellness Center, second floor dining, a private dining room, several activity spaces, office spaces and common restrooms. The LPAs observed common areas to be clean and in good condition. There were no obstructions and/or tripping hazards throughout the facility. There were cameras in the common areas, outdoor courtyard, and exterior perimeter. Required postings were found in the hallway on the first floor. There are fire extinguishers throughout the facility, which were serviced 07/21/2025. Fire alarm system is tested annually with the last inspection on 06/16/2025. 5-year inspection was conducted on 08/11/2025. Both inspections were conducted by Nelson Fire Protection; all systems passed. RESIDENT ROOMS/RESTROOMS: The LPAs observed ten (10) randomly selected rooms on the first and second floor and no immediate health or safety hazards was observed. Restrooms were clean, with properly installed grab-bars in resident bathrooms and slip-resistant surfaces. Appropriate furniture was also observed Report Continued on LIC 809-C in the units. Water temperature was tested throughout the units and measured between 113.9 degrees F and 118.4 degrees F, which is within the required range. OUTDOOR AREAS: There are three (3) outdoor gated courtyards; two (2) are on the first floor and one (1) is on the 2 nd floor. The LPAs observed outdoor furniture, with a covered shaded area for residents. There were no bodies of water observed during today’s visit. KITCHEN: The main kitchen is located on the 1st floor. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. Facility uses Sysco Foods for food deliveries, and food delivery takes place twice a week. There was a sufficient supply of perishable and non-perishable food, as well as emergency food and water. Food appeared to be of good quality. RECORDS: Record review began at 11:55AM. The LPAs reviewed five (5) resident files for, but not limited to: admissions agreements, medical assessment, updated appraisals. Resident records reviewed were in order at this time. The LPAs reviewed personnel records, including but not limited to: job application, health assessments, TB results, criminal record statements and clearances, first aid/CPR certification. Staff files reviewed were in compliance with regulation at this time. MEDICATION: Medications review began at 02:34PM. The LPAs reviewed medications for four (4) residents. Medications are maintained locked inaccessible to residents in the Wellness Centers located on the first and second floor. Four (4) out of four (4) resident medications reviewed were documented and stored in compliance with regulation at this time. INFECTION CONTROL/EMERGENCY DISASTER: LPAs reviewed the facility's infection control plan and Emergency Disaster plan. LPAs noted that the facility is in compliance with regulation. Facility conducts emergency disaster drills as required with the last documented drill on 02/19/2026. INTERVIEWS: Three (3) residents and three (3) staff were interviewed. No concerns were noted. DOCUMENTS OBTAINED: LPAs gathered a copy of the facility's liability insurance, register of facility residents, Silverado physician's report, and personnel report. No deficiencies cited. Exit interview conducted. A copy of the report was provided.