Routine inspection·March 4, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit, which has an emphasis on infection control practices and procedures. The LPA met with Executive Director Nancy Nelson and informed them of the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and community is in compliance with Title 22 Regulations. Kitchen: The facility had a sufficient supply of two-day perishable and seven-day nonperishable food at the time of the visit. The facility uses Sysco Foods for food delivery. The menu was posted and the facility offers an alternate menu. Snacks and beverages are available for residents. Common Areas: The facility is a three-story building. Units are designated for assisted living residents on all three floors and a separate unit on the first floor is designated for residents in the memory care unit. Upon entry to the facility, there is a central entry point for symptom screening and temperature checks for residents, staff, and visitors. Staff were observed wearing appropriate face coverings throughout the visit. In addition, the LPA observed hands-free hand sanitizer interspersed throughout the common grounds. The LPA toured all three floors and resident common spaces, which included the Screening Room, Salon, laundry facilities, Circle of Friends, Townhall, Wellness Center, Bistro, and small gathering spaces. There were no obstructions and/or tripping hazards throughout the facility. There are fire extinguishers throughout the facility, which were charged and last serviced 4/2021. Planned activities are offered. Activity schedule is posted throughout the facility. The LPA observed staff engaging residents in group activities. All activity rooms and common spaces appeared clean and in good repair. Outside areas: The LPA toured the courtyards; the LPA observed appropriate outdoor furniture, with a covered shaded area for residents. Parking is available for residents and visitors. The facility has an in-ground pool, with appropriate fencing per regulation. Common Restrooms: The LPA observed common restrooms on all three floors. Restrooms were fully stocked with soap and paper towels and the LPA observed signs that promoted good hand hygiene. During today’s visit, the LPA tested water temperature, and the temperature averaged within range of 105 degrees Fahrenheit – 120 degrees Fahrenheit. Infection Control: During today’s visit, the LPA spoke with the Executive Director regarding the community's infection control practices. The LPA observed appropriate signs in all common areas that promoted hand hygiene, masking protocol, physical distancing, and cough/sneeze etiquette. The community has an adequate supply of Personal Protection Equipment (PPE) and is able to obtain additional supplies. The community's cleaning protocol is sufficient. This facility has records of staff and resident vaccinations. If needed, the facility has the capacity to designate isolation zones if there is a confirmed case of COVID-19. The facility has previously managed COVID-19 active cases and the facility complied with all requirements set forth by the local health department and licensing. Staff are up to date regarding guidelines pertaining to visitation and vaccine requirements. The community's policies and procedures pertaining to infection control were adequate. No deficiencies cited. Exit interview conducted. A copy of the report was issued.