Routine inspection·March 16, 2023

License Program Analyst's (LPA’s) Shannan Hansen and Victoria Bertozzi arrived at 8:45 AM to conduct an unannounced annual inspection and was greeted by Donald Stamets, Administrator. Administrator was unable to attend full inspection so the Business Office Manager signed report. There is a total of 115 residents, of which 35 dementia residents, and 9 residents under Hospice care. Facility tour/inspection began at 9:35 AM: Beginning at approximately 9:33 AM, LPA's toured the community with Administrator Donald Stamets and Maintenance Director Jose Herrera. The tour of the facility included nine resident apartments, activity rooms, Library, Salon, dining rooms, kitchen and outdoor patios. All interior parts of the facility were found to be a comfortable temperature measuring between 75 to 78 degrees F. Exits and pathways were free from obstructions. The assisted living residents also have an outdoor patio courtyard. Delayed egress doors from the memory care units (Lee’s Lane & Hogan’s Court) have audible alarms when doors are opened without access codes. Hot water temperature measured within regulation of 105 to 120 degrees F in nine of nine rooms tested. Bathrooms contained necessary grab bars and showers contained non-slip floor/mats. LPA's observed at least a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food necessary for residents in care. Food was found to be handled and stored in a safe manner. Dining rooms and kitchen were inspected and maintained per regulation. Menus with snack and beverages are available to residents. Activity schedules are posted. Facility has a theater and multiple indoor and outdoor sitting areas and a private dining area. Continued on LIC809C Continued from LIC809 Fire extinguishers were last serviced 1/3/2023. Fire safety system including smoke detectors and carbon monoxide detectors are checked quarterly by facility staff and are on a regular service schedule with a vendor. LPAs initiated a file review of five resident files and five personnel files but were unable to complete. LPAs were also unable to review medication and will return at a later date to complete annual inspection. No deficiencies cited during today's inspection.