Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility at 12:20PM for an unannounced annual inspection. This annual had a specific emphasis on infection control practices and procedures. Upon arrival, the LPA initially met with Administrative Services Director Sarah Stichler. LPA then met with Resident Care Director Erika Miller and Memory Care Director Julie Downs. Entrance interview conducted.

Beginning at 12:49PM, the LPA, along with Community Directors, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Annual fire sprinkler inspection was completed on 03/03/2022. No safety concerns were noted at that time. Fire extinguishers throughout the building were observed to be fully charged and are serviced annually.

COMMON AREAS: The facility is a two story building. The facility contains multiple common areas, which were all observed to be clean, furnished appropriately and in good condition at the time of the visit. There were no obstructions and/or tripping hazards throughout the facility. Allrequired postings were observed in the common areas on the first floor.

The LPA and Community Directors toured the outside area of the facility: two are designated for Memory Care residents and the other two are designated for Assisted Living residents. The LPA observed appropriate outdoor furniture, with a covered shaded area for residents.

MEMORY CARE: Memory Care is located on the first floor and has 18 (eighteen) rooms. Resident bedrooms are single and double occupancy with private bathrooms. A random sampling of 2 (two) resident rooms were observed to be furnished appropriately. Bathrooms were observed to be safe and sanitary with