Routine inspection·March 4, 2025

On 03/04/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct the annual inspection. LPA met with Assistant Director, Tosha Devi and explained the purpose of today's visit. Administrator, Darrel Price came after short while and assisted LPA with today's visit. LPA toured facility with to ensure the health and safety of residents in care. LPA toured resident’s rooms, medication room, bathrooms, kitchen, dining room, common areas and activity areas. LPA observed residents in common areas participating in activities and in the dining room having lunch. The facility was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. Inside temperature was 72–74-degree F. Hot water measured between 110-120 in three different areas at facility was in required range 105-120 degree F. Facility was conducting fire and disaster drills per requirement. LPA reviewed five (5) residents files and five (5) staff files. Staff records reviewed indicated training completed and other required paperwork. Resident’s files found to have required documentation. LPA reviewed two (2) residents medications comparing with current physician orders and found it to be correct. LPA checked the current narcotic medications log with staff and found no errors. LPA observed that medications were secured and were inaccessible to residents. LPA completed the full care tool, and no deficiencies were observed or cited per Title 22 Regulations. Exit interview conducted and a copy of the report was left at the facility.