Routine inspection·August 27, 2024

Licensing Program Analyst (LPA) Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Stephanie Funderburg and explained the reason for the visit. The facility is licensed to serve 116 non-ambulatory and 104 bedridden residents over the age of 60 years old. Facility is a two story building with a lobby, a memory care unit, several common areas indoor and outdoor such as: a library, activity rooms, game room, private dining room, large dining room, 88 resident bedrooms with private bathrooms, shower rooms in the first floor and second floor, and a commercial kitchen. LPA Flores conducted a tour of the facility with Mario Henriquez - Maintenance Director and observed the following: Facility is in good repair indoor and outdoor. Commercial Kitchen was observed and sufficient food supplies were observed for at least 2 days of perishables and 7 days of non-perishables. All common areas have furniture that are in good repair. Fireplaces in common areas are covered. Memory care unit(MCU) was observed common areas are clean, an enclosed shaded area was observed, activities room available, egress doors throughout the unit tested and in working condition. Two resident rooms were observed in the MCU a cleaning solution in room #150 bathroom's sink was observed. Ten assisted living resident rooms were observed. All twelve rooms have the required bedding, furniture, sufficient lighting. Water temperature was tested in each resident's bathroom and tested between 108.0 - 117.0 degrees F., which is within the required temperature of 105-120 degrees F. Facility has a sprinkler fire system throughout Fire extinguishers were lasted checked on 9/7/23. Assisted living has multiple courtyards with shaded seating areas. Elevators are in working condition. Stairways have an evacuation chair at the bottom of each stairway. Medication room is inaccessible to the residents. LPA reviewed medical records for 7 residents, and conducted interviews with 7 residents and 6 staff. (CONTINUED ON LIC 809C) LPA concluded Physical Plant domain during this visit and will return at a different time to conclude annual visit and the remaining domains. Deficiency has been noted on LIC 809D per Title 22 Regulations. Exit interview was conducted and a copy of this report was provided.