Facility Evaluation Report

License Program Analyst (LPA) Shannan Hansen arrived at facility to conduct an unannounced annual inspection and was greeted by Bill Phelps, Interim Administrator. Facility is 2 stories with 84 AL apartments & 2 memory care units totaling 34 apartments. Fire clearance has been approved for 150 non-ambulatory residents, of which 35 may be bedridden, by the County Fire Department. There is currently a total of 121 residents, of which 33 are living in memory care, and 13 residents under Hospice care.

Facility tour/inspection began at 9:00 AM:

LPA toured the community with Interim Administrator. The tour of the facility included 15 resident apartments, activity rooms, Library, Salon, dining rooms, kitchen and outdoor patios. All interior parts of the facility were found to be a comfortable temperature measuring between 75 to 78 degrees F. Exits and pathways were free from obstructions. The assisted living residents also have an outdoor patio courtyard. Delayed egress doors from the memory care units (Lee’s Lane & Hogan’s Court) have audible alarms when doors are opened without access codes. Hot water temperature in 15 total rooms of AL & MC measured between 112.8 degrees F to 132 degrees F. with 14 rooms not within regulation of 105 to 120 degrees F. Temperature immediately turned down and per Administrator, plumber was contacted to assess issue following day (see LIC 809D) Resident bathrooms had required slip resistant mats and grab bars. While touring facility at approximately 9:36 AM to 11:00 AM LPA and Interim Administrator observed 4 storage closets ( in MC & AL) unlocked containing multiple gallons of paint, toxic chemicals, cement, cleaning products (see pic & LIC 809-D), staff locked doors. LPA observed at least a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food necessary for residents in care. Food was found to be handled and stored in a safe manner. Dining rooms and kitchen were inspected and maintained per regulation. Menus with snack and beverages are available to residents. Activity schedules are posted. Facility has a theater and multiple indoor and outdoor sitting areas and a private dining area.