Routine inspection·April 16, 2024

Licensing Program Analysts (LPA) Katie Brown and Lissett Paggett arrived unannounced to conduct the Annual Inspection. LPA met with and explained the purpose of the visit with Administrator (AD) Heidi Setty. During this visit, LPAs toured the facility inside & out which included multiple resident apartments in Assisted Living (AL) as well as Memory Care (MC). Resident apartments are found to be in good repair and contained required furnishings and lighting. The resident bathrooms were clean and in good repair with faucets delivering hot water within required limits. LPAs observed required hygiene items, grab bars and non skid showers. Towels, extra bedding, and linens were stored and available for use. The kitchen was clean, with necessary items and appliances. LPAs observed required food supply and paper product storage. Cleaning/disinfecting supplies and chemicals are locked and stored separate from food. Medications are centrally stored in medication rooms. First aid kits contained required items. There are multiple visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. The delayed egress doors were working properly which lead to MC. The fire detection system was last serviced 4/11/24 by Fire System Solutions, Inc. The Fire extinguishers were serviced 1/9/2024. LPAs conducted resident and staff file reviews including medication audit. Emergency Disaster Plan and Infection Control Plans were reviewed during this visit. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D in the areas of Incidental Medical and Dental, Residents with Special Health Needs and Storage Space. Civil Penalties are being assessed on the attached LIC421F for repeat violations. See LIC809C for continuation of this report An exit interview was conducted and Plan of Corrections (POC) were developed. A copy of this report was signed by AD. Appeal Rights were also provided. LPA requested the following updated forms faxed to CCLD by 4/4/2024: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Affidavit Regarding Client/Resident Cash Resources (LIC 400), Emergency Disaster Plan (LIC610E), Personnel Report (LIC 500), Client Roster (LIC 9020), Proof of current Liability Coverage.