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 Community Relations Director, Claudia Miner, after identifying herself and stating the purpose of the inspection. This facility serves fifty-six residents, 60 and above. all of which are non-ambulatory. Approved for hospice for twenty residents.

This facility has delayed egress as well as locked perimeter. A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. This a one story building with four wings. There are no water features on site.

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

The facility is operating in accordance with their fire clearance. The smoke and carbon monoxide alarms were present in each building. Emergency lighting, and facility telephone were all working. First aid kit(s) were complete and readily accessible in the medical rooms. Required licensing postings were observed in visible areas of the facility. PPE supplies are on site. Passageways were free from obstructions.