Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso, conducted a Required- 1 Year visit, on 5/26/26 at approximately 11:15am, and met with Administrator John Wotring. Currently there are thirty-five (35) residents' in care.

Fire clearance approval is for fifty (50) non-ambulatory, which includes approval for twelve(12) bedridden. The facility is sprinkled, and has a hard wired smoke alarm system. The facility has four(4) carbon monoxide detectors. Fire extinguishers were serviced and tagged as required.

Facility has a required infection control plan. Facility has a required emergency disaster plan. Facility specializes in dementia care. Hospice care waiver approved for eight (8) residents. Per review of records, the facility is conducting emergency disaster drills as required. Facility has a sufficient supply of emergency supplies, including water and food items to meet the required 72-hour shelter in place requirement.

LPA reviewed ten (10) resident files. All files were complete.

LPA reviewed ten (10) staff files. All staff had required criminal record clearance. All staff required to have CPR certification and first aid certification were found to be current. LPA reviewed staff training.

LPA toured the facility with the Administrator. Hot water was measured at 116.4 degrees Fahrenheit, which is within regulation. All exits were free and clear of obstructions. All exits had delayed egress. The facility was at a comfortable temperature during the inspection. The food supply was sufficient. Facility had a sufficient supply of linens, paper products, hygiene supplies, and personal protective equipment (PPE). All medications were locked and inaccessible to residents in care, and others that do not assist residents with medications. All cleaners/disinfectants, and soap products were locked up and inaccessible to residents in care. All bathrooms observed during the inspection had grab bars and non-slip mats/non-slip texture for residents use. LPA observed resident involved in music activities during the inspection. Sufficient lighting in all common areas, bathrooms, and resident rooms observed during the inspection.

No deficiencies were cited in today's inspection.

Exit interview was conducted with the Administrator John Wotring.