Routine inspection·October 27, 2023

On 10/27/2023 at 12:20 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Jon McCraw and explained the purpose of the visit. The facility’s fire clearance was approved for 2770 Pleasant Hill Rd. 50 Clients May Be All Non-Ambulatory First Floor Only. 2726 Pleasant Hill Rd, 76 Clients May Be All Non-Ambulatory First and Second Floor. Hospice Waiver for Six (6) Residents. LPA toured the facility with Jon including but not limited to 4 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 105, 106, 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. At 2:50 PM, LPA reviewed 7 residents records. At 4:30 PM, LPA reviewed 10 staff records and 10 of 10 have current first aid training and associated to the facility. LIC 809C...Continued LIC809 Continued.... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 11/03/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.