Routine inspection·February 7, 2023

Licensing Program Analyst (LPA) Brian Balisi arrived to this facility today to conduct a One (1) year Required inspection of this facility with emphasis on infection control practices and procedures. LPA met with Director of Assisted Living Ada S. Navarrete, LVN   and explained the reason for the visit. The building has several floors divided into separate areas of licensed and independent living occupants. The facility is licensed in Building A on the 1st, 2nd and 3rd floor. In Building B only the 2nd floor is licensed. Fire extinguishers were observed throughout the facility and appeared to be fully charged and last serviced in September 2022. Bedrooms:  At approximately 1:00pm, LPA inspected (10) randomly selected bedrooms.  The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. LPA observed all bathrooms in each resident bedroom  were clean, properly supplied and had functional fixtures. LPA observed all resident bathrooms to have grab bars, and  non-slip materials in showers.  The hot water was measured in each bathroom between  107  - 115.5 degrees Fahrenheit. Common Areas: Between 1pm - 3:30pm, LPA inspected the common areas throughout the facility.  These included  dining areas, activity rooms, (2) libraries, sitting area, theater, fitness areas, café, patios and inner courtyard.  The common areas were observed to be  properly furnished and relatively clean at this time. At approximately 1:45pm, LPA observed multiple residents playing cards in the 2nd floor activity area.  LPA observed appropriate signage regarding infection control posted throughout the facility.  LPA observed signs to wipe down each appliance  after each use and sanitizer readily available in areas with self serve dispensers and coffee and snack stations. Kitchen:  The kitchen was observed to be only accessible to staff. The kitchen appeared to be clean and the appliances and fixtures appeared to be in operable condition during the time of visit.  LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. LPA observed emergency food supply to be sufficient at this time.  Dining furniture in dining room area  appeared to be clean and sufficient at this time. Staff lounge located off the rear hallway near the kitchen. LPA observed proper signage, adequate seating  and sanitizer stations during the visit. Memory Care: LPA inspected (3) randomly chosen rooms during physical plant. The resident bedrooms were observed to be properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Each bedroom had a private bathroom.  LPA observed each bathroom to be clean, properly supplied and had functional fixtures. LPA observed all resident bathrooms to have grab bars, non-slip material in showers and locked cabinets.  The hot water was measured between 107 - 109  degrees Fahrenheit. There was an enclosed outdoor courtyard for memory care residents to use. There was an exit door that led into the parking lot. LPA observed an alarm sound off upon opening the exit door. Outdoor Area:  There were shaded areas throughout the exterior of the facility  with sufficient room for activities. LPA observed sufficient furniture designated for outdoor use. There is a pool located on the facility located on the independent living side of the facility. LPA observed gate to the pool to be closed and locked at this time.  Parking Garage was accessible from the exterior. PPE and other cleaning supplies were located in a storage closet on the far wall near the exit of the garage. LPA observed storage to be securely locked and stored sufficient supply  of PPE at this time. There was a fountain located in the courtyard entrance , LPA observed fountain to not be in use at this time. The LPA spoke with Ada regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate any bedroom as a single isolation room if the facility has a confirmed case of COVID-19.  If anyone is showing symptoms they are tested right away with  PCR rapid testing.  The facility’s policies and procedures as it pertains to infection control are adequate at this time. Exit interview conducted and report issued.