Routine inspection·July 20, 2023

On 07/20/2023 at 09:40 AM, Licensing Program Analyst (LPA) L. Holmes and Associate Governmental Program Analyst (AGPA) L. Francisco conducted an unannounced annual inspection. LPA/AGPA met with Tamra Marie Tsanos, Executive Director (ED) and explained the purpose of the visit. LPA L. Holmes toured the facility with (ED) who currently holds a certificate (#604 9144740) that expires on 05/07/24. The facility’s fire clearance was approved for two hundred twenty-five (225) non-ambulatory residents; fifty (50) may be bedridden. Upon arrival, LPA observed one (1) staff attending the receptionist desk, and two families visiting in the facility's common area. LPA, ED, and two (2) staff members toured the facility, including but not limited to, common areas, wellness center, library, bathrooms, kitchen, dining room(s), medication room/nursing station, front area and courtyard(s). The facility consists of individual apartments housed by the residents and has a monitored unit for memory care (The neighborhood). All outdoor and indoor passageways were free of obstruction. There were no bodies of water present. A comfortable temperature was maintained at 71 degrees Fahrenheit (F). LP A observed lighting in all areas to be adequate for the comfort and safety of the residents. The hot water temperature was measured at 111.2 degrees (F). All shared restrooms, hand washing, and bathing areas were safe, sanitary and in operating condition. Hand washing signs, paper towels, and soap observed at all hand washing stations. Linen and hygiene products are available for all residents. PPE, sanitizer, and paper goods remain sufficient. ...continued on LIC9099C. ...continued from LIC9099. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was observed full and serviced 04/06/23. Emergency Disaster Plan is updated. Safety drills were last conducted 06/2023 and are rotational between AM and PM schedules monthly. AGPA reviewed five (5) staff records, and all staff have criminal record clearances. Five (5) residents records were reviewed and are complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to ED.