Routine inspection·November 13, 2024

On 11/13/24 at 9:40AM, Licensing Program Analysts (LPAs) Angelica Segovia and Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPAs met with Resident Care Director Mary Jane Reyes and disclosed the purpose of the visit. LPAs asked for the census, resident, and staff rosters. A physical tour was conducted at 11:10 AM and observed the following: The entire facility has a total of 175 (one-hundred and seventy-five) beds. The facility is a two-story building. Both first floor and second floor are assisted living and memory care. The facility has two (2) memory care units: Evergreen located on the second floor and Willow located on the first floor. There are two (2) medication rooms one on the first floor and one on the second floor. The Evergreen Memory Care section of the facility has their own activity, television, and dining hall area. The door has a code and delayed egress on the doors. Willow Memory Care also has its own activity, television, and dining hall area. The assisted living side has their own activity room on the second floor, dining hall on the second floor and a television room on the first floor . The assisted living side has access to a huge patio area with proper seating for residents. Random Bedrooms were randomly selected to tour and were observed to have appropriate furniture, lighting, bedding, and televisions. Random Bathrooms were observed to have grab bars and non-skid mats. Hot water temperature was tested randomly for and measured 105–118-degree Fahrenheit. Fire extinguishers were observed throughout the facility and were fully charged on green with different dates. There are fire extinguishers upstairs, downstairs and in the kitchen area. Carbon Monoxide and fire alarms are located throughout the facility and are operable. LIC 809C-continued Facility has two designated medication rooms that are inaccessible to residents where all the medication is stored and locked in the memory care side of the facility. There are always two (2) medical technician staff in the facility during the daytime for each side-memory care and assisted living. Common Areas: These include the dining areas, activities room, television rooms: All common areas were observed to be cleaned and properly furnished. Facility maintains a comfortable temperature of 69.-71-degree Fahrenheit. There are several temperature thermostats throughout the facility. There are several common bathrooms throughout the upstairs and downstairs area. The staff and resident bathrooms are not shared. There are trash cans with lids and covid signs posted in the common bathrooms. Sufficient supplies of toilet paper and napkins observed. The facility has no body of water. There is one facility laundry area on the first level with chemicals inaccessible to the residents. The staff lounge is also located on the first level of the facility. The Kitchen: area was toured, and LPAs observed sufficient supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The kitchen is located on the first floor. The assisted dining area has access to this kitchen, where at the time of the tour, different residents were observed having lunch with proper feeding utensils/plates/cups. Resident records : LPAs conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPAs conducted a complete file review of staff records. Staff records appeared to be complete and updated. Administrative: There is no annual fee that is due right now. The Insurance plan is dated as of 03/3025. There is an Emergency Disaster plan, Personal Right, Rights of Resident Council, YES, Licensee, and Ombudsman sign on your left-hand side at the entrance of the facility, Fire Drills conducted. An exit interview was conducted, no citations were issued, and a copy of this report was given to the Resident Care Director.