Facility Evaluation Report

At 09:30 a.m. Licensing Program Analysts (LPA) Jenny Olson arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by staff and informed them of the reason for the visit. Administrator arrived shortly after.

At 10:45 a.m. LPA conducted a tour of the physical plant with Administrator to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was noted: Facility is a double-story residence that consists of a memory care unit, and an assisted living unit. LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced on 12/20/2022. The Administrator provided an annual fire alarm testing and inspection report done on 07/06/2023 and 10/09/2023 where all smoke alarms and carbon monoxide detectors were tested and functioned properly. LPA observed all required postings in the Activity Room near the entrance area. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.

Kitchen : During the facility tour, the kitchen appeared clean and the appliances and fixtures functional. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Food is prepared based on the menu. Snacks and beverages are available for residents in the dining area.

Bedrooms: During today’s visit, LPA observed ten (10) randomly selected resident units. The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. At 11:32 a.m. LPA observed Clorox wipes unlocked under the sink in Memory Care RM 114. The room was locked but the Clorox wipes were accessible to Resident 1 (R1).

In assisted Living At 11:47 a.m. LPA observed Lysol Disinfectant spray, Clorox wipes, 409, and beach cleaner in RM139. The room was locked but accessible to Resident 2 and 3. At 11:55 a.m. Continued on LIC809-C.