Facility Evaluation Report

On 09/27/2021 at 8:30am, Licensing Program Analyst (LPA) Ashley Boothe arrived unannounced to conduct a case management visit to clear POC's. LPA contacted Administrator for COVID screening prior to today's visit who confirmed no staff or residents have tested positive within the past 10 days for COVID. LPA arrived, met with Designated staff one (S1), explained the purpose of today’s visit, and was was allowed entry into the facility. Current census 37.

Deficiency cited under Title 22 87303(a) has been completed by the extended POC due date including repair work in resident common shower for one of three showers with water damage pulling off the wall, dried leaves and brush, broken gutters, dryer vent dust debris, overgrown trees, and cigarette butts on property grounds not maintained to be completed by 9/3/2021. LPA observed fenced off area to rear of property making areas of Copenhagen Hall, gazebo, and storage shed inaccessible with "No Trespassing" signs posted. S1 stated all repair work completed and plans for preventative maintenance are in place with staff and gardener service. LPA observed shower work repairs completed however caulking in one area pulling up, S1 ordered work service request to repair caulking in the area.

Per the California Code of Regulations, Title 22, Division 6, no deficiencies observed or cited. Exit interview held and a copy of report provided.