Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with the Executive Director (Administrator) Stacie Anderson and explained the reason for the visit. The Administrator's certificate expires on October 15, 2025. LPA and the Executive Director toured the facility. LPA observed the see something say something poster posted in the lobby of the facility. The facility is a 2 story building with a secured memory care unit on the first floor. LPA observed all the memory care delayed egress exits are operational. LPA and the Executive Director toured the kitchen and dining room. The kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the refrigerator and freezer were operational. LPA measured the hot water in 5 resident rooms, hot water measured between 110.0 degrees Fahrenheit to 115.0 degrees Fahrenheit. LPA observed all resident rooms inspected had the required furnishings and bedding. LPA observed all resident bathrooms checked were clean and operational. LPA observed cleaning supplies are kept locked in a storage closet. LPA and the Executive Director toured the second floor. LPA observed the call system is operational. LPA observed the call response time is less than 5 minutes. LPA observed emergency evacuation chairs at each stairwell. LPA observed there is outdoor shaded seating areas for memory care and assisted living. No bodies of water in the outdoor areas of the facility. LPA reviewed the fire alarm system paperwork showing the system passed its annual inspection on February 8, 2024. LPA reviewed 5 resident files, no discrepancies observed. LPA reviewed 5 resident's medications, no discrepancies observed. LPA observed the medication is kept locked in the Med Room. LPA observed the first aid kit did not have a current edition manual. LPA interviewed staff and residents. LPA reviewed 5 staff files. 2 of the staff files were for caregivers. LPA observed that 3 out of 5 staff files had no health screening. LPA observed that 2 out of 2 of the caregiver files did not have current training. The staff interviewed reported having in service training and online training. The Executive Director reported that staff are trained, but at this time there is no way to verify the training. No other discrepancies observed. Violations are being per Title 22 division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.