Routine inspection·November 9, 2021

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Executive Director Lea Davis and explained the reason for the visit. Resident Services Director Elisa Walker and Director of Residential Health Services Nicole Ayala were present as well. At 1:22 PM, LPA toured the facility with Director of Residential Services Ayala and Resident Services Director Walker. Facility has 148 residents in Independent Living, 19 residents in Assisted Living, and 11 in memory care during today's visit with 7 residents on hospice care. Facility consists of Independent Living, Assisted Living and Memory Care units. Facility has 2 restaurants in the Independent Living as well as a hair salon, secured indoor swimming pool, gym, chapel, multiple activity rooms and a library. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements as well as restrooms stocked with soap/ sanitizer. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the facility. Facility utilizes a visitor computerized sign in system. LPA observed the first aid kit/ area in both Independent Living and Assisted Living and has all required items. Facility mitigation plan has been approved. Facility has emergency evacuation chairs at the stairwell. LPA observed an ample supply of emergency food. Facility tests smoke detectors quarterly through an outside agency, Cosco. LPA toured the outside grounds and observed multiple outside visitation areas. LPA observed a koi pond on the Independent Living side of the property. LPA observed the medication room and facility uses electronic medical records for medication management. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPA reviewed select resident files during the visit and all files are up to date including emergency information. Most residents and all staff are vaccinated for Covid-19. LPA consulted with Executive Director Davis regarding the pond on the Independent side. Executive Director to look into additional safety features for the pond and update LPA. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.