Routine inspection·September 29, 2025

Licensing Program Analyst (LPA) Seo Jeon and Janira Arreola conducted an unannounced annual required visit. Upon entry, LPA was greeted by Nathan Boese, Executive Director, and informed them of the purpose of the visit. At the time of the visit, there were (17) staff members and (113) residents present. Facility Overview: The facility is a two story building with (110) bedrooms and (126) bathrooms. Second floor is designated for memory care unit. The facility has fenced swimming pool and a hot tub. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Hot water temperature was 106°F. LPA reviewed annual inspection report conducted by fire marshal dated January 8, 2025 with passing inspection. Fire extinguishers located at hallways have current inspection tags. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C...... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for four staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked in a medication room. LPA reviewed medications for four (4) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on September 22, 2025, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.