Routine inspection·November 29, 2021

Licensing Program Analyst (LPA) Kathrina Chin conducted an unannounced required annual inspection in this facility. LPA met with Kelly Conk, Executive Director, Amy Cole, Assisted Living Director and Pam Lahr, Wellness Coordinator and stated the purpose of this visit. LPA Chin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. Facility has 35 residents in care and 24 staff members on the floor. LPA toured the interior and exterior portions of the facility. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats. Hot water was measured at 107-109.2 F degrees Fahrenheit. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to residents in care. Fire extinguisher were mounted and charged. For the exterior portion, facility had patio furniture in good repair, and grounds were free of tripping hazards. LPA observed the emergency disaster and evacuation plans. Facility has back-up emergency food and water supply as well as PPE supplies. LPA Chin reviewed the COVID 19 mitigation plan of the facility. For this visit, the facility was observed to be in substantial compliance with Title 22 ,Division 6 of the California Code of Regulations. LPA Chin conducted an exit interview with Kelly Conk, Executive Director and a copy of this report was provided.