Routine inspection·October 17, 2022

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a Required - 1 Year visit on 10/17/22 at 10:00am on a subsequent visit. LPA was allowed entry into the facility that is licensed for a capacity of 72. LPA met with Casey Simon, Administrator and Nicole Hemenover, Resident Service Director, and stated the purpose of todays visit. LPA toured and inspected the physical plant inside and outside which included cottages to ensure there are no safety hazards to residents. The temperature inside the facility measured in a random amount of rooms and cottages between 73*F and 77 *F which is within the required range of 68-85*F. There are 6 residents currently utilizing hospices services at this time. The hot water temperature was measured in a random amount of rooms and cottages between 106.3*F and 109.3*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, central heating and air and a pull alarm system in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed during this visit. Exit interview held, copy of report given.