Pre-licensing visit·March 10, 2022

At approximately 8:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived unannounced, to conduct a pre-licensing inspection due to an ownership change of this currently operating care facility for the elderly. LPA was screened for Covid-19 symptoms and temperature was recorded. LPA met with Administrator Lia Miller and Applicant Babita Dhawan. The facility is requesting a total capacity of 72 with 52 non-ambulatory and 20 bedridden residents. The facility has requested and received a hospice waiver for 15 residents. The facility has a courtyard in the rear of the facility, and a closed-in outdoor patio in the center. Random rooms were inspected in the Assisted Living and memory care areas of the facility. The indoor temperature was comfortable. All personal accommodations were present in the inspected rooms. LPA observed facility hallways and exits were unobstructed. Exits were clearly marked. Facility cleaners and toxins are stored in a locked housekeeping supply room. Housekeeping carts are lockable and were found to be locked while in use. LPA observed plenty of perishable and nonperishable foods. The kitchen and dining area was clean and well maintained. Water temperature measured within regulation between 105 and 120 degrees F in various resident bathrooms. LPA observed the facility has a hard wired fire alarm system, and has appropriate smoke and carbon monoxide alarms in place. Medication is centrally stored and locked in a dedicated medication room in the assisted living section of the building. Resident records are also kept locked and secure. Continued on LIC809-C... The facility has multiple fire alarm pull stations with audio/visual alerts, and all resident bathrooms have push button alarms for alerting staff for assistance. All fire extinguishers were charged and inspected within the last 12 months. The facility has a functioning smoke detectors in all resident rooms and smoke detectors in hallways and common areas. There are also carbon monoxide detectors throughout the facility. The fire system is checked annually. LPA and Applicant discussed the facility's emergency disaster preparedness plan for the individual facility needs and the disaster plan for a large scale disaster which may affect city/county. Facility has the required 7 days non-perishable and 2 days perishable food on hand. LPA conducted the Component III Orientation with Applicant. Based on their knowledge shown, the Applicant has successfully completed the Component lll Orientation section of the application process. Applicant provided evidence of Liability insurance at the time of visit. This application is ready for submission to the Licensing Program Manager for review and approval of facility license.