Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct an Annual Required – 1 yr. Infection Control inspection to this facility. LPA was welcomed by Stacy Vermeulen, General Manager/Administrator. There is a total of 70 residents with 1 resident currently on Hospice.

LPA arrived at the facility and had temperature checked and logged by electronic system. All staff are temperature check and logged each shift and wear masks. LPA toured the facility on 10/14/2021 at 1:30 PM with Plant Operations Supervisor Joel Bruno; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on 5/5/2021 at the time of the visit. Facility smoke detectors are hard wired and sound directly to the fire station. Smoke detectors and fire sprinklers are inspected, and inspection records are current with the last inspection being conducted on 9/1/2021. Every resident apartment has an individual smoke detector in addition to hard wired, and smoke detectors were found to be operational on today’s visit. LPA observed 2 out of 2 Carbon monoxide detectors that were found to be operational during the visit. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occurs. Hot water temperature measured between 113.1 degrees F and 116.2 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 8 of 8 resident’s bathroom faucets while touring facility on 10/14/2021 at 1:50 PM. An electronic water heater was purchased in 2020. The facility has no special care plan of operation and programming for residents with Dementia. Facility serves residents without dementia. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per Title 22 Regulations. There are special provisions made for individuals with special dietary needs. Facility keeps a variety of items on the menu, and facility makes residents aware at admissions agreement of residents having the responsibility over their own special dietary needs. Food is available for residents any time of the day. There is a daily activity schedule for residents.