Pre-licensing visit·September 15, 2021

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the Pre-licensing visit with Executive Director, Kevin Taliaferro and Wellness Director, Rhonda Guzman. The initial Pre-licensing inspection was conducted on 9/9/2021 and which all residents' rooms were inspected on that date. The fire clearance has been approved for a capacity of 310 residents, which 285 may be non-ambulatory and 25 may be bedridden. The facility has an approved hospice waiver for 30 residents. There are no rooms set aside for bedridden residents. Residents that become bedridden remain in their suite. There are currently 102 residents residing at the facility. Emergency phone numbers, Exit Plan, and Menu: The emergency phone numbers and exit plan are available in the hallways and by the elevators. The menu is posted in the kitchen and also given to the residents in their rooms weekly. The fire extinguishers were last inspected on 5/7/21. Smoke Detectors: The facility has smoke/carbon monoxide combo detectors in each of the resident rooms. Appliances: All appliances in the facility are in good repair. The laundry equipment on each floor are operable. Medications, First Aid Kit & Book: Medications are stored and locked in the Wellness Office located on the 4th floor. LPA Chan randomly selected 12 residents' medication logs to review and all medications are being administered as prescribed. The first aid kit contains all the required supplies along with the current first aid manual which are located in the Wellness Office. (LIC9099C) The facility had submitted proof of corrections to correct the hot water temperature, freezer and refrigerator temperature deficiencies which was issued on 9/9/21. Component III: LPA Chan conducted the component III during today's visit to provide information on how to operate the facility within substantial compliance. Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted and this report has been provided to the Executive Director.