Routine inspection·December 27, 2024

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by, identified themselves to and discussed the purpose of the visit with Program Director Bernadette Bowman . The facility's license shows a maximum capacity of 60 non-ambulatory elderly residents, of which 15 may be bedridden. Hospice waiver for 15. During today’s inspection there were 50 non-ambulatory residents in care, with 12 residents on hospice. LPA with Program Director Bowman toured the interior and exterior of the facility and inspected a sample of rooms. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, and showers were in working order. LPA observed 8 resident showers not equipped with non-skid mats or strips. Program Director Bowman confirmed that resident showers are not equipped with non-skid flooring. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Program Director Bowman, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited in accordance with CCR Title 22. An exit interview was conducted with Program Director Bowman to whom a copy of this report, LIC809-D, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.