Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct an annual inspection of this 3 story 36 apartment (some shared) RCFE with a plan of operations for Dementia and was greeted by staff. LPA met with Administrator Lauren Cottman and Business Office Director (BOD) Ravi Banwait. The facility has a fire clearance approved for 55 Nonambulatory residents on the 2 nd and 3 rd floors with magnetic locked egress doors and gates on all patios and levels, last effective date of 8/20/2019. A Hospice Waiver approved for 12. There is a total of 26 residents of which 4 are under Hospice care.

At approximately 8:45AM, LPA toured the community with staff & BOD. The tour of the facility included ten resident apartments, activity rooms, 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 obstruction. Delayed egress doors have audible alarms when doors are opened without access codes. Facility serves residents with dementia and has special care plan of operation and programming. Hot water temperature measured between 115.3 degrees F and 121.2 degrees F not within regulation of 105 to 120 degrees F in six of ten rooms tested (see LIC809D). Bathrooms contained necessary grab bars and slip-resistant mats, strips, or flooring in all bathtub and or shower floors as required by Title 22 Regulations. There was a supply of cleaners, hygiene products and paper products available for residents. 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 kitchenettes were inspected. Menus with snacks and beverages are available to residents. Activity schedules are posted and at approximately 9am LPA observed activities director conducting morning activity and at approximately 4pm observed live music being played for monthly birthday party.