Routine inspection·July 20, 2021

Licensing Program Analysts (LPAs) Linda Almaraz and Alberto Lopez conducted an annual required visit. LPA's met with CEO Matthew Neeley, Administrator, Sue Failey and Director of Facility of Operations, Dan Townsend and explained the reason for the visit. LPA's used the infection control tool to evaluate the facility. LPA's observed the facility plant, COVID-19 procedures, reviewed residents' medications and observed food supply. Facility has submitted a mitigation plan and is approved. The facility is located in a large campus that includes independent living, assisted living, memory care and skilled nursing. The assisted living and memory care buildings were toured. Maple court and Birch Court have 2 floors. Both floors were toured. The first floor consist of resident bedrooms, kitchenette, dining room and activity room. Bedrooms had required furniture. The food in the kitchen was sufficient supply of 2 days perishable and 7 days non-perishable. The common areas such as living room and dining area are clean and have the required furniture. The patios have a shaded area and sitting area. Medications are centrally stored and locked. Carbon monoxide detectors were checked and Fire Extinguishers were present all around the facility. Smoke alarms in the Birch Court side was not operable. Bathrooms, toilets, hand washing and shower/bathtub were toured. During the tour the following bathrooms water temperature were not within the required range; Room 174, 183, 178, 138 and 144. Medication administration record (MAR) logs for resident #1 was signed off although the medication was not given yet, and resident #4's MAR log was not signed off as given for July 16th although it was given to the resident. A medication was missing for Resident #2. Deficiencies cited under California Code of Regulations Title 22 An exit Interview was conducted with the Administrator and a hardcopy was provided. Appeal Rights was provided.