Routine inspection·August 20, 2025

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual Inspection on today's date of 8/19/2024. The LPA met with Tracy Burke. The facility is a two story structure located in North Stockton with a capacity to serve 81 resident and a current census of 77. The grounds were observed to be maintained and clear of obstruction and debris. There is sufficient outdoor furniture for the residents to participate in outdoor activities and pergolas for shade. LPA and Staff inspected the physical plant at to ensure the health and safety of the clients in care. LPA inspected the facility with Staff including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. The facility had the required carbon monoxide detectors. LPA observed the facility to be free of odor. LPA observed sufficient lighting throughout the facility. Fire extinguishers and smoke detectors are current and in compliance with fire safety. Fire drill was conducted on 8/2025. Continued LPA reviewed twenty (15) client files and five (5) staff files, including criminal record clearances. LPA observed centrally stored medications locked in then medication room. LPA reviewed and compared resident medication vs. resident medication logs. As well as the over the counter medication prescribed by residents primary care physicians. All staff were cleared and associated to the facility. First aid kit was checked and is complete. During the file review for residents in care LPA and Administrator observed outdated (2023) PRN letters for 5 of 10 memory care files reviewed. LPA, Administrator and Med-tech reviewed PRN letters and learned that the facility is not following the request of the doctor to be notified before and after medications are given. Citation given Advisory given for reporting requirements. Exit interview conducted. A copy of this report was left with the Administrator.