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 Emily Turner, after identifying herself and stating the purpose of the inspection. This facility serves Two-Hundred Twenty-Five (225) non- ambulatory residents 60 and above; twenty (20) of whom may be bedridden. Delayed Egress in Building ‘B’. Hospice waiver approved for twenty (20).

A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. There are three-buildings in the complex with memory care on the 1 st floor of the ‘B’ building. There is large pond/water feature on site, made inaccessible to residents. Facility does feature delayed egress doors and a locked perimeter on the 1 st 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. Annual Fire inspection is current. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. PPE supplies are onsite. Passageways were free from obstructions.