Facility Evaluation Report

Licensing Program Analysts (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Rodgers was granted entry into the facility by Director of Assisted Living Perla Provencal, after identifying herself and stating the purpose of the inspection. This facility serves one hundred and Seventy Seven (177) non- ambulatory elderly residents 60 and above; thirty (30) of whom may be bedridden. Hospice waiver approved for 24.

A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. There is a three-story complex with memory care on the first and second floor. PPE supplies are onsite. Passageways were free from obstructions. Facility does feature a locked perimeter on the first and second floor .

Each resident had clean and sufficient bed linens. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Hot water temperature in residents’ bathrooms were compliant.

Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.