Routine inspection·February 23, 2024

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Executive Director (ED) Melinda Forney and Director of Wellness Ashely Croslin and explained the purpose of the inspection. During the inspection, LPA conducted a tour of independent living with Nurse Manger Melissa Goldman and Health Service Coordinator Reyna Medina. LPA conducted a tour of assisted living and memory care with Nurse Manager Sheila Weathers, and observe the following: Independent living is located in the main four-story building. Assisted living and memory care are connected and located in a separate two-story building adjacent to independent living. Memory care is approved for delayed egress. Delay egress was tested and observed to be operable. There are 7 residents in the memory care unit, 36 in assisted living and 258 in independent living. Resident bedrooms had the required furnishings. LPA observed resident beds had linens and blankets. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature was tested in ten resident bedrooms and tested between 107.6-120.7 F degrees. The facility has multiple shaded sitting areas; the central outdoor area includes a swimming pool, putting green, and lawn bowling. Pool was observed to be fenced and met regulation requirements. LPA observed residents engaging in leisure activities, such as reading, knitting, and strolling about the inside and outside of the facility common areas. Facility has all required Department postings. Facility has emergency evacuation chairs at the top of stairwells. Facility has a third-party contractor come into the facility to do quarterly inspections of smoke detectors and sprinkler system. Carbon monoxide detectors were tested during today’s inspection and observed to be operable. LPA observed medication rooms to be inaccessible to residents. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. (Cont. LIC809-C) LPA observed at least three fire extinguishers located on every floor of every building of the facility. Fire extinguishers were observed to be fully charged with service tags dated 8/03/23. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. LPA reviewed 15 resident files and interviewed five staff and seven residents. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.