Routine inspection·August 29, 2024

On 8/29/2024, Licensing Program Analysts (LPA's) Tobola & Jian conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Executive Director, Jeffrey Brenner. The facility currently provides care for 93 residents, 1 of which are receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located on each resident floor and kitchen were found to be last charged on November 2023. Smoke and carbon monoxide detectors and fire safety systems are interconnected. Fire Safety Inspections completed on March 1, 2024 indicating all fire safety devices and systems to be in order. Water at faucets accessible to residents measured between 105.0 and 120.0 degrees F which is within regulation. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished twice per week and stored properly. Facility provides a wide variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Cleaning supplies and other toxins are safely stored in locked closets throughout each floor, and housekeeping/maintenance rooms all of which were secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. Residents that were awake during the inspection were observed interacting with staff, fellow residents and visitors in the common areas, or in their bedrooms resting. The facility encourages regular family visits and utilizes a wide variety of activities with LPA observing staff engaging continuously with residents, offering activities based on individualized preferences and abilities. LPA found that staff and resident engagement is well practiced with activity calendars developed on a monthly basis. Residents were observed to have a positive and personable relationship with staff. Continued onto LIC809-C LPA conducted a sample file review for 9 residents and found all items to be on file. LPA's found that residents Needs & Service Plans are up to date, however the Executive Director is in the process of acquiring updated signatures from residents and family. Technical Violation issued. Upon a spot check of nine (9) staff files, LPA found that caregiver staff have current first aid and annual training on file. Lastly, A spot check of medications was conducted and found that all medication counts and records are in order. Jeffrey Brenner's Administrator Certificate 6068069740 is currently active through 1/17/2026 . LPA requested the following documents be sent to CCL by COB 9/12/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Liability Insurance No deficiencies cited during the visit.