Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian conducted an annual inspection today. At approximately 2:15 p.m. LPA met with staff Nancy Burns and introduced self. Staff contacted Executive Director (ED) Elizabeth Spencer and LPA explained the reason for the visit.

At approximately 3:00 p.m., the LPA and Executive Director and Maintenance 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: Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. The LPA observed sufficient perishable and non-perishable foods to meet the minimum requirement for two day perishable and seven day non-perishable food supply; emergency food and water supply for 72 hours. Refrigerator and food storage areas were checked for proper labels and expiration dates and food labels; opened food items were sealed properly and had expiration date clearly marked. Common spaces on the first floor include the theater, salon, secured pool, and spa. The second floor includes the reception area/lobby, library, activity rooms, fitness room, and physical therapy room. The third floor includes the kitchen/dining services, and activity rooms. Fire extinguishers were checked and observed full charged. The pool was observed to locked and inaccessible to residents in care. There were no obstructions and/or tripping hazards throughout the facility.

The main facility structure is a three story building. There are resident rooms on all three floors. In addition, there are additional resident units in six (6) stand-alone buildings. LPA observed six (6) resident rooms randomly chosen in the main building. All resident rooms observed were furnished appropriately, with furnishings and clean linens. The bathrooms were sufficiently stocked with supplies and paper towels. Hot water temperature was measured between 116.2 – 127.8 degrees Fahrenheit. Assistant Maintenance Director adjusted the boiler during the visit. The outer building were not toured during today's visit.

Due to time constraints the annual will continue to another date. Exit interview held.Copy of report provided.