Routine inspection·September 14, 2023

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived unannounced to the facility to conduct a required annual inspection. LPA met with Executive Director David Alspach at the front entrance and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. Facility is licensed for 200 non-ambulatory elderly residents; ages 60 and above; 10 of whom may be bedridden. Facility has a hospice waiver for 10 residents. During today's visit, LPA toured the facility inside and out, reviewed records, and interviewed staff, as well as residents. The physical plant was found to be clean, free of odor, and in good repair with no pathway obstruction; facility's temperature measured at 72 degrees; all cleaning solutions were observed in a locked secure area. Staff present have a criminal record clearance in file and are associated to the facility. Tour included: Physical Plant: front entrance, interior and exterior surroundings were observed to be clean with no pathway obstruction; facility's water temperature 115 degrees; all bathrooms were clean and equipped with grab bars. The facility's toilets were observed to be in working order. There is sufficient lightings and mattress pads in all of the residents’ bedrooms. There is also sufficient amount of personal toiletries available for the residents in care. Random smoke detectors were inspected and found to be in working order. LPA inspected the Fire Extinguishers throughout the facility and found them to be in compliance. The indoor swimming pool is available for residents who are not memory care and requires a check out key at the front desk. The facility does not have firearm and/or ammunition on grounds. Continued on LIC 809C Continued from LIC 809 Food Services: 7 day non-perishable and 2 day of perishable food supply was observed and all food was properly stored and available to residents. Items reviewed/discussed: Random staff and residents' records were reviewed. Staff records reviewed have criminal record clearance in file and are properly associated to the facility. Random resident records reviewed have the required documents and are up to date. All required postings were posted near the facility entrance. Administrator certificate expires on 7/23/2025. Last fire drill conducted on 07/28/2023. Facility's medication/PRN logs were reviewed and residents’ medications were inspected for dispensing according to physician’s orders. No cited deficiencies per Title 22, Division 6 of the California Code of Regulations cited at this time. An exit interview was conducted and a copy provided to Executive Director David Alspach.