Routine inspection·February 14, 2025

On 02/14/25, Licensing Program Analysts (LPAs) Ernand Dabuet and Jose Anguiano conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Resident Care Coordinator Carina Kahl. LPA Dabuet explained the purpose of today’s visit. The facility is licensed to operate for (155) residents, which may be (30) non-ambulatory and (5) bedridden elderly adults ages 60 and above. The facility is approved for (12) hospice residents. Currently, the facility has (82) assisted living residents, (15) residents in memory care, and (8) hospice residents. The facility is a two-story structure located in a commercial neighborhood. It consists of the following: (97) resident bedrooms, (97) resident bathrooms, a med room, a conference room, dining rooms, laundry rooms, a mail room, business offices, a commercial kitchen, (2) activity rooms, storage rooms, (2) public restrooms, courtyard patio area, a staff room, a salon, and a chapel. LPAs, Kapel, and the Maintenance Director toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. The resident rooms were inspected: #116, #119, #122, #124, #201, #203, #209, #216 and #246. Emergency call buttons were in working condition. Bathrooms were operational with water temperature measured at 105.2 – 112.9 degrees F. A comfortable temperature was maintained in the facility at 72 - 74 degrees F. LPAs observed that the facility was to be furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and inaccessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. (Evaluation Report continues LIC 809-C) Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. Disaster, evacuation, and fire Drills are conducted, with records of 01/25/25 being the last drill. Facility fire cleared approved for delayed egress exits. During the visit, LPAs observed the facility's infection control practices. LPAs observed screening protocols for visitors, staff, and residents and sanitizing stations in common areas and restrooms. All mandated inspection control posters, including the Activities Calendar and Food Menu, were posted. LPAs conducted an audit of resident #1-#6 (R1-R6) out of (97) service files, and staff #1-#5 (S1-S5) out of (93) personnel files were all complete. A review of the Medication Records Administration (MAR) was maintained in order and accurately. The facility is current on CCLD annual fees. The administrator certificate for Heather Argueta #7001895740 is valid through 11/25/25 . The facility has a Liability Insurance Certificate valid with policy # MKLV5PSM001282 effective 01/01/25 through 01/01/2026. No deficiencies were noted during this annual visit. An exit interview was conducted with Corina Kahl, and a copy of the report was provided.