Routine inspection·November 27, 2024

Licensing Program Analysts (LPAs) Becky Mann and Sarina Ramirez made an unannounced visit to the facility to conduct an annual inspection. LPAs met with Melanie Niez, Administrator and explained the purpose of the visit. During the visit, LPAs observed residents throughout the common areas, walking around the facility, in their designated rooms and/or participating in activities. Facility: Facility has a capacity of 156 residents and a current census of 113. Physical Plant: The facility is operating in the capacity and conditions approved by Community Care Licensing Division (CCLD). Linens and hygiene items are sufficient for residents. LPAs tested 9 residents bathrooms and the hot water temperature were measured between 108.5 to 118 degrees Fahrenheit. LPAs observed 10 bedrooms were equipped with lamps and appropriate lighting to ensure residents comfort and safety. Showers and toilets are equipped with grab bars. Fire alarms and smoke detectors are in working order. There is a signal system installed that is in operating order. The facility consists of: Library, Media/TV Room, Lounge, Laundry Rooms, Kitchen, Dining Area, Front Lobby, Med-Tech Room, Patio, Staff Break Area, Reception, and all other common areas. Food Service: The facility has a variety of food available for residents. Non perishable and perishable food is sufficient for the number of residents in care. Pesticides and other toxic chemicals are not stored in food areas, and the kitchen is accessible to residents. Care & Supervision : Facility has sufficient staff in care for the residents. Toxic items are inaccessible to residents in care. Record Review: Current staff has Criminal Clearance, CPR and updated training. Resident records are complete with updated physician reports, admission agreement, and needs and services plan. Medication: LPAs observed medication room and medications are locked and centrally stored. Medication room has a small refrigerator for medication that require refrigeration. LPAs reviewed 7 resident medications and all meds are taken as prescribed by a physician. Medications matched the Medication Administration Record (MAR) on file. MISCELLANEOUS: Company transportation is available to residents in care. Fire extinguishers were inspected. Ombudsman poster, CCLD Complaint poster, evacuation plan, activities schedule, resident rights, and Facility license are posted in public view. There were no deficiencies issued per Title 22. An exit interview was conducted, and a copy of this report, LIC809, and LIC809C were given to Administrator Melanie Niez at the end of the inspection.