Routine inspection (multi-day)·July 12, 2024

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a continuation of Required 1 Year Annual Inspection Visit. LPA explained the purpose of the visit to Administrator. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 110 bed facility with a current census of 105. There is entry door is leading to a common area that leads to the kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. No bodies of water were observed at the facility. Hot water temperature was measured at 110 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. Elevator inspection is current to 9/20/2024. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point.