Routine inspection·January 19, 2024

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Executive Director, Shannon Moore, who was informed of the purpose of the visit. The facility is comprised of (2) one story buildings with (28) resident rooms and (14) bathrooms, outdoor space and common areas. The facility does not have a pool or fire arms. The facility is designated as a residential care facility for the elderly for elderly ages 60 years and above. The facility is approved for delayed egress. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Infection Control: LPA observed the hand washing stations in the facility. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The dangerous items were observed to be locked and inaccessible to clients. LPA observed the operating facility signaling system. LPA observed activity areas for residents to engage in. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Record Review and Resident/Staff Files: LPA reviewed staff files and training that contained staff criminal clearance and updated training along with CPR/First Aid. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication were secured in a medication room. LPA reviewed client medications and found all medication listed on MARS and all required labeling was found to be in place. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. A planned fire drill was conducted during the time of the visit. LPA observed the smoke detectors and fire alarms were functional during the time of the visit. LPA observed all facility exits were clear from obstructions. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Executive Director, Shannon Moore.