Routine inspection·July 7, 2021

Unannounced annual visit made out to this facility by LPAs Charlie Yang and Tirzah Hubbard on 07/07/2021 who were met by the Interim Executive Director Tracy Freudendahl. Brief interview was conducted with the Interim Executive Director. Current census was 95 residents. It was learned that this facility does have (9) residents under hospice care at this time. This facility is licensed to accept and retain up to (15) residents under hospice at any given time. Tour of this facility was conducted. Common areas were toured. Dining room, living areas, and all other areas designated for resident use were toured. Furniture and furnishings were observed to be sufficient and in good repair at this time. A sample of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. A sample of the resident restrooms was conducted. Grab bars and non skid mats/surfaces were observed to be present and in good repair at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Laundry areas were toured. Detergents, bleach, and cleaning agents were observed to locked and made inaccessible to the residents at this time. Linen closets were supplied with the necessary linens, blankets, and sheets sufficient to meet the needs of the residents. Memory care unit, Connections For Living, was toured. A sample of the resident bedrooms and restrooms were toured. A tour of the enclosed courtyard was conducted. Medication rooms were toured. Policies and procedures related to accepting, dispensing and documentation of the resident medications were discussed with facility personnel at this time. Kitchen area was toured. Food storage units were toured. A brief interview was conducted with the Director of Food Services. A review of the facility 2-day perishable and 7-day non perishable food quantities was conducted. First aid kit was observed to be present and contained all of the necessary components at this time. A tour of the exterior grounds was conducted. A review of the perimeter fence, side gates, and exterior exits was conducted. Fire extinguishers, located throughout the facility, were observed to have been annually inspected on 04/13/2021 by the local fire extinguisher company Padilla's Fire Protection. This facility was requested to go ahead and update the following forms at this time and to submit them into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interview