Routine inspection·August 15, 2023

On 08/15/2023 at about 10:10 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced for a required annual inspection. LPA met with Mary Anne Watral, Interim-Executive Director (ED) and explained the purpose of the visit. 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 (2) residents visiting in the facility's common area. LPA toured the facility with ED and Sergio Lepez, Director of Maintenance. The areas included but were not limited to, common areas, dining room, bathroom, kitchen, front area and courtyard. The facility consists of individual apartments housed by the residents and has a monitored unit for memory care. 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). LPA observed lighting in all areas to be adequate for the comfort and safety of the residents. The hot water temperature in the shared restroom was measured at 109.3 degrees (F). The shared restroom had paper towels, soap and garbage cans; all areas were safe and sanitary. PPE, sanitizer, and paper goods remain sufficient. There is a 2-day supply of perishable foods and a 7-day supply of non-perishable foods. ...continued on LIC9099C. ...continued from LIC9099. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was observed full and serviced 07/10/23. Emergency Disaster Plan is updated. Safety drills are rotational between monthly. LPA reviewed five (5) staff records, and five (5) resident records. -At 11:15 AM, LPA confirmed through Guardian, and CCLD staff support that ED does not have criminal record clearance on file and is not associated to the facility. Deficiency is being cited on the attached LIC 809D. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided to ED.