Routine inspection (multi-day)·January 31, 2025

On January 31, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct an annual continuation case management visit. LPA met with Licensee and explained the purpose of the visit. During today's inspection, LPA conducted a file review for five residents and four personnel records. LPA observed required documents present. LPA and Licensee discussed that all resident medical assessment should be completely annually and/or with change of condition. LPA was informed Licensee has an appointment for the following Monday for fire extinguisher inspection. Licensee is to submit a photo of inspection tag once completed. Pool gate observed to be locked and inaccessible to residents in care. LPA observed a copy of active Administrator Certificate present. LPA observed facility liability insurance to be active. At this time, LPA is requesting a copy of LIC 500 and LIC 308 to be emailed to LPA by Friday February 7, 2025. No deficiencies cited. Exit interview conducted and a copy of report was provided.