Routine inspection·January 23, 2024

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Michael Harrison, Executive Director, and discussed the purpose of the visit. T he facility is a Continuing Care Retirement Community with independent homes, a two story assisted living unit, and a memory care unit. The facility has a license capacity of (303) residents and a hospice waiver for (5) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passag eways are free of obstruction. The facility has sufficient indoor and outdoor space for resident activities. The memory care outdoor activity space is enclosed by perimeter fence gates approved by fire marshall. Twelve (12) Resident’s bathrooms inspected at random were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured 105 to 111 degrees F. (12) Resident’s bedrooms inspected at random have sufficient lighting and furniture in good repair. The facility has operating carbon monoxide alarms, telephone service, laundry equipment and signal system. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in resident common areas, Community Care Licensing complaint posters, Ombudsman posters, facility sketches, and resident monthly activities. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerators and freezers are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. The facility has an onsite Dietician, posted menus and sufficient dining areas for residents. Care & Supervision : The facility has 24-hour/7 days a week care staff. LPA observed several staff assisting with resident care, food service, maintenance and housekeeping . Reco rd Review: The facility conducted a fire drill on 12/08/23. (12) staff files reviewed at random were observed to be complete and included criminal record clearances or exemptions through the Department. (12) resident files reviewed at random were observed to be complete. Medical Related Services : All medication was centrally stored and kept locked in the medication room. Based on LPA observations and file review, the facility was in compliance with Title 22 regulations and no deficiencies were cited during today's visit. An exit interview was conducted at the conclusion of the visit and a copy of this report was provided to the Executive Director at the conclusion of the visit.