Routine inspection·November 29, 2023

On 11/29/23 at 9:00am Licensing Program Analyst (LPA) Kevin Gould arrived at ACC Maple Tree Village for the purpose of conducting a required 1 year annual inspection. Due to a computer error, LPA was unable to access the required 1 year annual selection and LPA was unable to utilize the annual inspection care tools. This report will substitute as the required annual inspection. LPA met with Administrator, Yesenia Jones and together conducted a tour of the facility. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. The facility is divided into four communities but all in one building. There is a separate memory care section of the facility. LPA measured the water temperature, temperature measured at 110 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA was able to review all resident files and were unable to review all staff files as part of the staff files are kept off site. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility. Per California Code of Regulations, Title 22 the following deficiencies are cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.