Sienna has flexible and extended visiting hours. The facility is a 5 star building. It’s a beautiful place to live. The outside grounds are beautiful as well. Residents are able to enjoy the outside either by being in the patio or to go out and enjoy a walk.They also provide physical, interactive and educational activities to the residents. Residents have good quality care and good quality of life. The staff are very gentle and lovable with the resident. The facility provides nutritional and excellent meals. Residents are treated with respect and dignity, and are supervised 24 hour 7 days a week. I highly recommend Sienna at Otay Ranch Senior Living if you are looking for a place for your loved one.