Facility Evaluation Report

On 11/28/2023 Licensing Program Analyst (LPA) Brian Phillips arrived at the facility announced for a scheduled visit to conduct a required Pre-licensing facility site inspection visit at the Fountain Square of Lompoc facility due to a change of ownership. When the LPA arrived, they were greeted by Administrator Robin Murray, and informed them of the reason for the visit. At the time of arrival for the scheduled Pre-Licensing Inspection, there were 62 residents currently in care. This is a Pre-Licensing inspection visit to a currently operating facility due to a change in ownership. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. This facility is a Residential Care for the Elderly (RCFE) that consists of assisted living and memory care portions of the facility. The facility has an age range of 60 years and older for all residents in care. The facility fire clearance is approved for one hundred thirty (130) total residents, one hundred and twenty (120) of which are non-ambulatory and ten (10) of which are bedridden. The pending license is requesting twenty (20) residents for hospice waivers, ten more than the approved hospice waiver for the current license. The facility is approved for delayed egress in the memory care unit section of the facility.

KITCHEN(S): The facility has a main kitchen for residents of the facility, and two (2) dining rooms. One (1) dining room is specifically for the Assisted Living residents of the facility, and the other dining room is for the Memory Care residents of the facility. The individual dining room areas in the memory care segment of the facility and the assisted living segment of the facility are closest to the resident bedrooms that section serves. The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in the kitchen are inaccessible to residents. Kitchen appliances were in operable condition and looked clean/in good repair. The LPA observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last 7 days. Additional perishable food items were maintained on a shelf and/or an extra freezer. The hot water temperature was measured at an appropriate temperature as per the regulation. Heating devices such as stoves are inaccessible to residents as are potentially dangerous items. Continued on 809-C