Routine inspection·November 8, 2021

On 11/08/2021 at 8:44am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to conduct infection control inspection LPA meet with Director Lori Thames and explained the purpose of the visit. LPA inspected the facility including but not limited to resident apartments, bathrooms, dining rooms, common living areas, kitchen, and outside areas. The room temperature and lighting were adequate for the safety and comfort of the residents. Rooms were furnished appropriately and observed to be clean and in good repair. All rooms have private bathrooms and showers which were equipped with grab bars and safety/nonskid floors/mats. Food supply was checked and there is an adequate supply of 2 day perishables and 7 day non-perishables. Refrigerator temperature is measured at 29 degrees Fahrenheit. Freezer temperature was measured at 8 degrees Fahrenheit. Kitchen and food preparation areas were observed to be clean and in compliance. There were no bodies of water or fire safety hazards observed. Facility is equipped with interconnected smoke detectors, sprinklers, and fire alarm. Memory Care unit's door and all other exit doors were with delayed egress. Facility has a mitigation plan, emergency disaster plan, and maintains records of routine screening for residents, staff and visitors, resident's changing of health conditions, and N95 respirators fit testing for staff. Deficiencies seen as follows; Hot water temperature were measured on different sides of the building measuring at 128.2 degrees Fahrenheit and 96.3 degrees Fahrenheit. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.