Routine inspection·June 2, 2022

On 06/2/22 at 11:00 a.m., Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by staff at the front desk. LPA later met with Administrator Bradlee Ann Foerschner and the purpose of the visit was explained. Upon arrival, LPA observed the following: Infection control: Covid-19 infection control signage was observed outside of the facility. Proper signage was also observed inside in the common areas. Upon entrance, LPA was asked to check in, using the system Accushield. The system was designated to follow infection control practices. LPA observed staff wearing masks inside the facility, staff and Administrator also reminded residents to wear masks. Facility has sufficient PPE supplies for more than 30 days. A physical tour was conducted at 11:20 a.m. Fire Alarms are located throughout the facility the latest performance report from LAFD shows it is valid until 01/31/2023. Carbon Monoxide alarms are located throughout the facility and are operable. Common Areas: These include the dining areas, activity rooms, and other shared spaces. All common areas were observed to be cleaned and properly furnished. Facility maintains a comfortable temperature of 76.0 F. Common bathrooms were observed to have trash cans with lids and infection control prevention signs posted. Facility has a designated laundry area. Facility has a designated medication room that is kept inaccessible to residents. Kitchen area was toured, and LPA observed there to be sufficient one-week non-perishable foods and two days perishable food for all residents. (cont. on 809-C) Bedrooms were randomly selected to tour and were observed to have appropriate furniture. Bathrooms were observed to have grab bars and non-skid mats. Outside areas: LPs toured the outside area of the facility. LPA observed appropriate outdoor furniture, with various shaded areas for residents. There is a pool with a fence located outside that is designated for the independent living community. Administrative: On May 11, 2022 the Woodland Hills Regional Office received an LIC200 from this facility requesting a change of capacity. The total requested capacity noted on the application is 194 residents, of which 100 can be non-ambulatory and 20 bedridden. To process this request, the Administrator submitted an LIC200, an updated facility sketch that that reflects changes such as the designated bedridden bedrooms, and a check in the amount of $25.00 addressed to the Department. Based on today’s visit, LPA did not observe any issues or concerns with the request to change capacity. Our office will process the change request and the Administrator will be notified by the Fire Marshall when they are ready to schedule an inspection. No deficiencies issued during today’s visit. Report was signed and delivered. An exit interview was conducted with the Administrator.