Facility Evaluation Report

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. Executive Director David Steinstra met with LPA Hernandez and LPA explained the purpose of today's visit.

The facility is a residential care for the elderly (RCFE) Continuing Care Retirement Community (CCRC). The facility is licensed for a capacity of two hundred ninety-seven (297) Current census is one hundred-fifty nine (159). LPA Hernandez was accompanied by Memory Care and Assisted Living Director Denise Perez, Executive Director David Steinstra and Director of Operations Daryl Whitehead to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature at 67 degrees. LPA Hernandez inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Hernandez observed sufficient furniture and lighting throughout the facility. LPA Hernandez observed the water temperatures in the bathroom to be at 111 degrees F. The facility is equipped with operating smoke and carbon monoxide detectors. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. LPA observed scissors and knives to be kept unlocked accessible to residents in care. Deficiency will be issued. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked.