Routine inspection·February 27, 2023

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced annual visit at the facility with focus on infection control domain, medication, and food review. LPA Flores met with Rocio Gonzalez Wellness Director and explained the reason for the visit. The facility is licensed to serve 206 residents over the age of 60 years old of which 171 may be non-ambulatory, 35 bedridden, and a hospice waiver for 20 hospice residents. There are currently 12 residents on hospice. Facility cares for dementia residents and has delayed egress on exit doors. There is a water feature in the courtyard. The water feature has a fence around the entire perimeter. Facility has a fire sprinkler system throughout the facility. LPA Flores conducted a tour of the facility with Rocio Gonzalez Wellness Director and observed the following: Upon arriving at the facility, receptionist conducted screening of LPA and observed signing logs with COVID related questionnaires. Signs are posted throughout the common areas, social distance was observed among the residents. Staff were observed wearing face masks. Facility has a commercial kitchen. Kitchen is clean and food supplies were observed to be sufficient food for at least 2 days of perishables and 7 days of non-perishables. Facility has obtained a temporary walking freezer that is maintain outside the kitchen while repairing the indoor walking freezer. LPA observed the following rooms # 123,130, 223, 235, and 239. Each room has sufficient lighting, proper furniture, and bedding supplies. Each room has a private bathroom in working condition with grab bars, and skid strips/mats and water temperature was tested between 100.0 - 110.6 degrees F. which is not within the required 105-120 degrees F. LPA Flores checked medication for 5 residents. Administrator Certificate #6020807740 exp: 1014/24 was observed for Virginia Garcia and a copy of Liability Insurance was required. Deficiencies have been noted on LIC 809D and a copy of this report, LIC 809D, and appeal rights have been provided during exit interview with Lori Lackey Assistant Administrator.