Routine inspection·September 19, 2024

On 09/19/2024, Licensing Program Analyst (LPA) M. Vega & B. Miranda arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. Administrator was contacted and arrived a short time later. LPA toured facility with Administrator David Murchison. The facility was observed to be at a comfortable temperature, of 72 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. Fire extinguisher was observed with a service date of 04/2024. All 6 residents’ bedrooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 115 degrees F. Medications observed to be locked in a cabinet in the kitchen. LPA reviewed a sample of Centrally Stored Medication Logs. LPA observed R1 was being given CBD oil which was not logged on the Centrally Stored Medication Log, deficiency issued. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An outdoor seating area was observed for residents in care. LPA reviewed a sample of Staff and Resident files. Resident files observed to have updated information, 2 of the staff files were needing documentation which Administrator was informed. Deficiencies were cited under Title 22. LIC 809 C - Continuation Administrator requested for staff to sign report. Exit interview conducted. Report was signed and copy of this report and appeal rights were provided for facility records.