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 Executive Director, Jared Green, after identifying herself and stating the purpose of the inspection. This facility serves sixty-eight (68) elderly residents; age 60 and above; fourty-one (41) may be non-ambulatory. There is also a Hospice care waiver for ten (10). Facility is equipped with a secured perimeter in the memory care units. This is a muti-unit property..

LPA was accompanied by the Executive Director, Green during a tour of the facility. A tour of the facility was conducted of the cottages and the two (2) memory care units in the community and included a sample of resident units, the dining area, recreation rooms, and food storage areas. Signal systems are in place and operational. PPE supplies are onsite. No bodies of water are on premises. Passageways were free from obstructions. According to Executive Director, Green, there are no weapons and/or ammunition stored on the premises. All doors were operational.

Each resident had clean and sufficient bed linens. All extra linens towels, and washcloths are all accessible in rooms or in the locked facility store room. 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.