Routine inspection·June 21, 2024

On 6/21/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the full care tool. LPA met with Executive Director, Davina Barker, and explained the purpose of the visit. Today's census is 22 residents with eight (8) residents on hospice services. Facility is licensed for 66 residents, hospice waiver of 16. Executive Director reported no staffing concerns. LPA was informed there are three care staff and one med tech for AM and PM shift and with two care staff for NOC shift. LPA and Executive Director conducted a tour the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: five residents bedroom, Tahoe Room, main dining, kitchen, laundry room, activity room and the common areas. LPA observed facility to have 2+ days of perishable and 7+ days of non-perishable foods. LPA observed the facility to be at a comfortable 72* degree. LPA observed facility to have ample supply of linens. LPA observed residents in care to be in the activity room, listening to music with care staff. During today's visit, LPA observed facility to be clean, sanitary and in good repair. File review was conducted for 5 residents and 5 personnel files. LPA observed files to be completed. Inspection tool completed and found facility to be in substantial compliance. No deficiencies cited. LPA observed facility liability insurance to be current and active. Exit interview conducted and a copy of report was provided.