Routine inspection·March 12, 2020

Licensing Program Analyst (LPA) Denise Powell conducted required one year visit to ensure substantial compliance with Title 22 regulations. The facility is licensed to serve six elderly residents, up to six of whom may be bedridden, with an approved hospice waiver for six. There are two residents currently on hospice care. LPA met with Administrator and Licensee Catherine Amoranto and toured the facility which was observed to be clean, safe and in good repair with attractive accommodations. Two caregivers were on duty to meet residents needs. LPA observed residents being treated with dignity by staff. Furnishings, Linens, and Personal Hygiene items are provided to residents; Resident, Staff and Administrative Records are kept in secured storage areas, and sample review of records were observed to be well organized and complete; Food Service including proper storage and required amounts of perishable and non-perishable food supplies on hand; Medication Storage is maintained in locked cabinet; Hot water measured at 108.4 degrees F in resident bathrooms. There is sufficient space to conduct activities; hardwired smoke detectors and sprinklers are present throughout the building and carbon monoxide detectors; all required postings are present; and there is ample seating outdoors and shaded areas for resident use. In areas observed during this visit no deficiencies were observed. LPA provided additional advisory guidance on activities and emergency disaster planning requirements. Licensee will submit an updated LIC 610 E form within ten days. An exit interview was conducted with Catherine Amoranto and a copy of this report along with licensee rights was provided for facility records. Signature below verifies receipt of these rights.