The facility is a two-story building that consists of forty-eight (48) apartment units designated for assisted living and forty-seven (47) apartment units within the memory care section. The memory care program operates across three neighborhoods located on the first and second floors of the main building, as well as in “The Cottage,” a separate building directly across from the main facility. The facility features four dining rooms, a bistro area, a television room, an activities room, a salon, and multiple outdoor patio areas available for residents’ use.

During the inspection, LPA observed that all resident bathrooms were equipped with operational toilets and wash basins, and each contained appropriate safety features, including grab bars and non-skid surfaces in the showers. Common areas, including living rooms and dining rooms, were adequately furnished, provided sufficient seating, and appeared clean and well maintained. Water temperature measurements were taken throughout resident bathrooms and were observed to range between 107.4 and 119.9 degrees Fahrenheit, which is within the required regulatory range under Title 22. { ***CONTINUE 809C***}

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

LPA reviewed the emergency disaster plan and confirmed that the facility has submitted an updated Infection Control Plan as required. Medications are stored securely in locked medication carts, and the first aid kit was observed to contain all required items. Resident and personnel files are maintained in a locked and secure location.

LPA reviewed five (5) resident files and five (5) staff files during the visit. All files were complete, containing the required documentation and signatures.

LPA also observed reading materials, activity calendars, and recreational equipment in multiple locations throughout the facility, indicating an active program of daily engagement for residents. Outdoor areas were inspected and found to be shaded, well maintained, and easily accessible to residents in both assisted living and memory care areas.

Based on observations made during the visit, the facility appeared to be in substantial compliance with applicable Title 22 regulations at the time of inspection.

An exit interview was conducted with Executive Director (ED) Bryan Reamer-Yu, during which the findings of the inspection were reviewed and discussed. No deficiencies were cited during this visit. A copy of this report was provided to the Executive Director for the facility’s records.