Routine inspection·June 11, 2021

License Program Analysts (LPAs) Farhaan Sarangi and Erik Gonzalez-Campos arrived unannounced to conduct an Required – 1 year visit of the facility. LPAs were welcomed by front desk who contacted Executive Director, Wesley Bard for the visit. Facility is in the process of changing Administrators and have submitted documentation to Community Care Licensing. There is a total of 20 assisted living residents and 230 independent living residents. One resident in Assisted Living is on Hospice. The facility is an eleven story CCRC with independent living and assisted living setting licensed by Community Care Licensing on all floors. The assisted living setting is on the second floor. The facility also has a skilled nursing setting that is not licensed by Community Care Licensing. LPAs toured the assisted living part of the facility on June 11, 2021 at 09:30 AM with Executive Director, Wesley Bard, Ashley McCargar (RN) and Terrance Tumbale; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on May 2021. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occurs. Hot water temperature measured at an acceptable range and within Title 22 acceptable regulation of 105 to 120 degrees in the downstairs common area across the study hall, 1 assisted living and 1 independent living resident’s bathrooms while touring facility on June 11, 2021 at 10:30 AM. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations at the time of the visit. LPA toured the kitchen area with Executive Director and learned that there are provisions made for individuals/residents with special dietary needs. (Report continued on LIC 809C) Food is available for residents any time of the day. There is a daily activity schedule for residents. Toxins are stored in a locked housekeeping room. There is supply of cleaners, hygiene products and paper products available for residents. LPAs advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Disaster Drills were conducted June 2021. LPAs reviewed the Mitigation Plan with the facility. Facility has already been N95 Fit tested. Emergency Disaster plan was discussed with the Executive Director. Personal Protective Equipment is sufficient. No deficiencies were observed or cited during today's Required 1- Year inspection. Exit interview was conducted and a copy of this report was emailed to the Facilities Executive Director, Wesley Bard.