Routine inspection·January 28, 2025

On 01/28/2025 , Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct the annual inspection. LPA met with Business Office Director, Jessica Brass and Resident Care Director, Chrystal Perez who assisted LPA with today's visit. Currently there are 94 residents of which 3 residents are receiving hospice care. LPA toured facility with to ensure the health and safety of residents in care. LPA toured residents 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 110-114 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 ten (10) residents files and eight (8) staff files. Staff records reviewed indicated training completed and other required paperwork. Residents 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.