Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced required annual inspection. LPA met with Administrator Joelle Medina and explained the purpose of the visit. The facility is licensed as a Continuing Care Residential Community (RCFE-CCRC) to serve 518 residents, 60 years and above, of which 259 may be non-ambulatory. The hospice waiver is approved for 10 residents. There are currently 26 Assisted Living residents, including 14 in temporary Joselyn wing, 2 residents in the Memory Care unit, 60 residents in Skilled Nursing, and 254 residents in Independent Living.

LPAs toured the community with the Administrator for the Assisted Living and Memory Care units, in addition to some of the common areas of the facility. The Assisted Living unit and Memory Care unit are detached from the main building. The Assisted Living unit consists of 32 individual apartments, of which 19 are being remodeled and 14 residents are being temporary housed at Joselyn wing, with their own bathrooms and a shared dining area. The Memory Care unit consists of 4 bedrooms, one TV room, 1 full bathroom and ½ bathroom, living room, dining room, small visiting room and kitchen. Currently there are two (2) resident residing in memory. There is an alert system installed on all the doors.

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents and medications. Disposals of trash are done immediately after changing a resident. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an infection Control Plan at facility.

Operational Requirements: The facility does accept patients with dementia. There are 0 bedridden residents residing at the facility. The facility has enough liability insurance covering injury to residents and guest. (continued on 809C)