Routine inspection·July 2, 2025

07/02/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently 86 residents in care. Facility approved/cleared for 95 non-ambulatory which 14 may be bedridden. Facility has hospice waiver for 10. LPA toured the building and grounds with Executive Director and Business Manager. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated and freezer food was found to be stored in a safe manner being labeled and dated. Facility has four floors, the first and second being designed for Memory Care. The third and fourth floor are designed for Assisted Living. Facility has many common areas including offices, a gym, a salon and activity room. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 09/2024. Smoke/Carbon Monoxide detectors are hardwired and located throughout the facility. Fire alarms are inspected by an outside vendor. Facilities last fire drill was conducted 06/30/2025. LPA observed a daily food menu served for break, lunch and dinner. Facility has a separate menu from their daily specials in the event a resident does not like what is being served that day. Facility has an activities calendar, one for assisted living and a separate one for memory care. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. continued on LIC809C LPA conducted a review of 8 resident records. All records had the required documentation. LPA conducted review of 8 staff records/training. Upon a review of staff records, LPA found all staff to have required training as well as current 1st Aid & CPR certification on file. No deficiencies cited during today's inspection. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 08/02/2025: LIC500- Personnel Report LIC308- Designation of Responsibility Updated Liability Insurance Exit interview conducted with Executive Director and a copy of this report was provided.