Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit and met with Health Service Administrator (HSA).

The facility has 40 Assisted Living residents and 16 Memory Care residents. License, ADM certificate, and Personal rights posters were observed in the facility. LPA reviewed 7 resident files and 6 staff files.

LPA toured the Memory Care Unit. LPA tested the delay exit door. The alarm sounded when the exit door was pushed; and the door was able to open after 30 seconds. Two caregivers came on site around 20 seconds after the alarm sounded. The memory care unit has 16 bedrooms. LPA randomly picked up one resident room to inspect. LPA toured the activity room and living room, and dining area in memory care unit. Room temperature was observed at 74 degree F. LPA toured the memory care unit patio area.

LPA toured Assisted Living unit. The elevator was observed functional. LPA toured 2 resident rooms in Assisted Living Unit. LPA toured the activity rooms, dining room. Laundry room and chemical supplies room were observed locked. Evacuation chairs were observed in the stairs.

LPA toured the Independent Living Unit and toured one resident room and fitness center.

LPA toured the common area. Two days perishable foods and seven day nonperishable foods were observed sufficient. Room temperature was observed at 74 degree F, hot water temperature was observed at 118 degree F. The temperature of the freezer was observed at 0 degree F and the temperature of the refrigerator was observed at 37 degree F. Medication room, laundry room were observed locked.