Routine inspection·June 8, 2023

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE tool. LPA met with and explained the reason for the visit. Administrator arrived 30 minutes later. Facility is licensed to serve as a Continuing Care Residential Community (RCFE-CCRC) for 340 non- ambulatory adults 65 and over, of which 5 may be bedridden in rooms 150-169. Delay Egress is approved in 1st and 2nd floor and a secured perimeter is approved in the 1st floor. Facility has an approved hospice waiver for 20 residents. Facility has a commercial kitchen, a swimming pool with a 5ft fence surrounding accessible with a key card pad, a gym, a dining room, library, different common areas in the 1st, 3rd, and 5th floor, and a dementia unit with delay egress system. LPA Flores conducted a tour of the facility with Aura and observed the following: Facility is clean and in good repair indoor and outdoor. Sufficient food supplies were observed for at least 2 days of perishables and 7 days of non-perishables. LPA observed 17 independent/assisted living resident bedrooms were observed; each room has sufficient lighting, required furniture and bedding supplies. LPA observed cleaning solution in room #245's bathroom by the toilet. Each bathroom has the required skid mats and grab bars for the assisted living residents. Water temperature was tested in each residents' bathroom, and it tested between 109.8 and 118.9 degrees F., which is within the required 105-120 degrees F. Common areas have sufficient sitting area and are in good repair. Facility's gym is in good repair. Dementia unit has an activity area, and 2 resident rooms were observed. Facility has a fire sprinkler system throughout. Emergency disaster plan was reviewed. Last fire drill was conducted on 5/2/23. LPA reviewed medication for 10 residents. LPA will return at a later time to finish the following domains: Personnel Records, Resident Records, Infection Control, Residents with Special Needs and Health Needs. Deficiencies were noted on LIC 809D. Per Title 22 Regulations. Exit interview was conducted with Shaun Rushforth Administrator and a copy of this report, LIC809D, and appeal rights were provided.