Facility Evaluation Report

On December 30, 2024, Licensing Program Analyst (LPA) Rachel Bruce arrived unannounced to conduct the Annual inspection and Health and Safety check. LPA met with Jaycee Anderson, Administrator (AD) and explained the purpose of the visit. Facility tour was provided by AD.

During this visit, LPA toured the two Assisted Living buildings at this facility. Resident rooms contained required furnishings and lighting. Restroom showers/bathtubs are equipped with shower tile that is non- skid, explaining the absence of Non-skid mats. Room 209 in resident building "HOPE" was lacking a bathroom door, due to damage and accessibility by wheelchair. A curtain was installed for privacy during the visit today, so no citation will be issued. LPA tested the hot water in two resident rooms; temperature measured 112.6 and 110.8 degrees F. Resident hygiene supplies were properly stored and available. The kitchen was toured and observed to be in good repair with the exception of the door to the walk-in freezer which is broken. Citation issued for that at today's visit. Sharps/knives were properly stored. LPA AD and kitchen staff confirmed that fresh food is delivered weekly. Ice machine was clean, functional and in good repair.

Medications are centrally stored and locked in medication room; there is one in each building. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility including outdoors. First aid supplies are located throughout facility and found to contain required items.

Fire Extinguishers are located throughout the facility and were all serviced in August 2024. Smoke and Carbon Monoxide detectors are tested routinely, batteries are changed every 6 months. Smoke Alarms and sprinklers are checked annually with Mid State fire safety company, last inspection was August, 2024. LPA conducted resident and staff file reviews and interviews.

Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D. An exit interview was conducted and a Plan of Correction was developed.