Facility Evaluation Report

At approximately 8:50 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a 1-Year Required inspection and was greeted by Administrator/Executive Director (ED), Carla Lau. Vine Ridge Senior Living serves older adults in Assisted Living and Memory Care. Facility has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and total capacity for ninety-nine (99) ambulatory and non-ambulatory residents. Facility has an approved hospice waiver for eight (8) residents. The facility consists of a multi-level building with multiple outside patio areas. The Memory Care unit has it's own dedicated patio and garden area. Upon arrival, LPA was informed that there were twenty-three (23) residents in assisted living and fifteen (15) residents in Memory Care for a total of thirty-eight (38) Residents in care. At approximately 9:25 AM, LPA reviewed Facility Staff Roster and found that staff member S1 had not been cleared in the Guardian Background check system. A citation will be issued for this deficiency. A Civil Penalty of $100 will be assessed for this deficiency. All other staff members on site were background cleared and associated to the facility per regulation.

At approximately 10:25 AM LPA toured the facility with Resident Care Coordinator, Alexis Short. The facility was observed to be clean, orderly, and at a comfortable temperature during today's visit. All common areas, hallways, and bathrooms observed by the LPA had sufficient lighting. Bathrooms observed had grab bars, and non-slip mat/flooring for bathing/showering as needed. The facility has emergency supplies, including food and water to meet requirements of the 72-hour shelter in place. The kitchen was observed to have a sufficient supply of perishable and non-perishable food. The facility offers a variety of menu options for the residents at each meal. There is also a variety of fresh fruit and other snacks available for residents at all times. Facility has a sufficient supply of cleaners, hygiene items, PPE supply, and paper products. All toxins/cleaners were locked and inaccessible to residents in care.