Routine inspection·February 13, 2024

Licensing Program Analysts (LPAs) Juliana Barfield and Amy Rodgers conducted an unannounced Required One Year visit to ensure substantial compliance with Title 22 regulations. This facility is co-licensed as a Continuing Care Retirement Community (CCRC) for up to 1233 elderly residents, all of whom may be non-ambulatory. LPA was met by Assistant Executive Director Ivy Holmes and discussed the purpose of the visit. LPAs were then joined by Executive Director Kristen Kearnaghan. LPAs toured the Independent living areas and briefly spoke with residents and staff. Pathways were free of obstruction and slip hazards. There is an outdoor pool securely fenced and an indoor pool and coy pond that are only accessible to independent residents. Smoke and carbon monoxide alarms are hard-wired to a central location. Hot water temperatures was compliant in resident bathrooms, which had grab bars for resident use. LPA inspected two facility kitchens and food storage and observed a minimum of seven (7) days of nonperishable foods and a minimum of two (2) days of perishable foods. Cleaning solutions are stored away from areas that also store kitchen utensils, equipment and/or food. Medication is centrally stored and secured in locked medication rooms. Staff have current 1st Aid training and Safety Department staff are EMTs. Resident records sampled had a Physician's Report and Admission Agreement, along with current Needs and Services plans. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Executive Director Kristen Kearnaghan.