Routine inspection·August 19, 2021

On 08/19/2021, Licensing Program Analyst (LPA) Don Senaha conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with Administrator Michael Krieger, Executive Director Jill Tucker and Health Service Director Jamie Pyles and explained the purpose of today’s visit. The facility is licensed to operate for one hundred and thirty-seven (137) non-ambulatory of which thirteen (13) can be bedridden elderly residents ages 60 and above. The facility is two building structures, one building is designated for Assisted Living and Memory Care residents and consists of two (2) floors and the other building consists of Memory Care residents and has three (3) floors. There are a total of 54 Assisted Living units and 55 Memory Care units. LPA and Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. Various rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A comfortable temperature of 74 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. Multiple fire extinguishers were fully charged on each floor. Sprinkler system in place. Medication rooms were inspected. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff and residents were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE) in room 304. All mandated inspection control posters were posted. Advisory Note –Technical Assistance were issued, please see LIC9102-AN. Water temperature was cited for the Memory Care building as the water temperature did not meet Title 22 regulations between the temperature of 105 F to 120 F. See 809D page. No other deficiencies were cited during this inspection visit. An exit interview was conducted and a copy of this report was provided to Michael Krieger.