Facility Evaluation Report

License Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct a Required – 1 year Infection Control Inspection of the facility. LPA was welcomed by front desk who contacted Administrator, Terrance Tumbale for the visit. There is a total of 21 assisted living residents and 240 independent living residents and 35 in the skilled nursing facility. One resident in Assisted Living is on Hospice.

The facility is an eleven story CCRC with independent living and assisted living setting licensed by Community Care Licensing on all floors. The assisted living setting is on the second floor. The facility also has a skilled nursing setting that is not licensed by Community Care Licensing.

LPA toured the assisted living part of the facility on March 14, 2022 at 9:30 AM with Administrator, Terrance Tumbale; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on March 7, 2022. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occurs. Hot water temperature measured between 115.3 degrees F and 125.6 degrees F falling out of Title 22 acceptable regulation of 105 to 120 degrees F in 5 of 8 resident’s bathrooms while touring facility on 3/14/2022 at 09:30 AM. (see LIC 809-D). Administrator contacted facility service director Stewart Dalie to adjust water temperature while LPA was touring facility.

There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations at the time of the visit. LPA toured the kitchen area with Executive Director and learned that there are provisions made for individuals/residents with special dietary needs.