Routine inspection·February 26, 2024

At 9:50am on 02/26/2024, Licensing Program Analyst (LAP) Jeffries arrived unannounced at the facility to conduct the facility annual inspection. LPA met with Administrator Carl Meyer, announced who he is and the reason for the visit. Administrator and LPA conducted a physical walking through tour of the full facility and the facility's outside perimeter. LPA noted that the facilities administrator is collaborating with the city of Paso Robles to address a water run off from recent storms that effect the sidewalk and road on the west side of the facility. Administrator plans on mitigating the extra rain water run off with diverting flow from the south driveway. LPA was able to observed an unobstructed pathway in the front of the facility and suggested to the administrator to provide warnings to residents and staff during heavy rain run off conditions. LPA noted that the remainder of the outside area of the facility is clean and in good repair. The facility is a 3 story building with 97 resident rooms of which 24 are memory care rooms. All rooms have an on suite bathroom, and assorted rooms share a "jack and Jill' type bathroom. The resident rooms are assorted number of one bedrooms, and suites. There is one room of the facility that is a 2 bedroom configuration. On each floor and in the memory care unit there are rooms for social and recreation gatherings. The memory care unit has a courtyard area for resident to be outside, there are furnishing with umbrellas to protect residents, guest and staff from outside elements. Each floor has multiple community use restrooms, laundry rooms, snack bar and refreshment areas, and an assortment of recreation rooms such as painting room, workout equipment room, and television rooms. There are multiple offices, storage areas, and utility closets throughout the facility. The facility has two stairwells location on the north and south sides of the facility both have a fire evacuation chair located at the top of each stairwell. There are two elevators located in the central areas of the facility. The facility has a large reception area for guest and visitors. The kitchen and dining room are located on the second floor (ground level from the east side main entrance). The memory care unit has a self contained kitchenette. LPA noted that during the physical walking tour of the CONTINUED on LIC-809-C facility LPA was able to audit several resident rooms. LPA noted that all rooms were properly equipped by regulation standards. LPA noted that all appliances were in good working condition on the temperature of the facility was regulated at 72*(f), this day the temperature outside was 51*(f) when LPA entered the facility. LPA noted that all assisted grab bars were firmly secured on the walls, LPA noted that the facility had at least 8 fire extinguishers on each floor, all of which were tagged current and in the green pressurized reading. LPA observed most recent fire inspection report from Alpha Fire Unlimited dated 02/15/2024 which indicated that the fire detection and water distribution system pass pressurization test and is functioning properly. LPA noted that all hallways, and entrenches were free and clear of obstacles. LPA noted that this facility has its own on site emergency generator and LPA observed ample amount of emergency water on the first floor. LPA observed at least two days of perishable and at least seven days of non-perishable foods on hand in the kitchen, Administrator and LPA reviewed menu requirements and screening procedures for doctors ordered, and prefrontal diets. LPA conducted a sample audit of resident and staff files. LPA noted that Resident 1 (R1) did not have a Tuberculosis Test on either of the LIC602s in their file and a citation was issued. LPA noted that all other mandated forms were current in resident and staff files. LPA screened all staff criminal record clearance and all staff working are cleared. Administrator and LPA conducted a complete review of all of the annual care tools modules. LPA noted that the only violation was the citation mentioned above and was cited in the care tools module form. LPA noted that there were no other citations, violations or technical issued as a result of this annual facility inspection, Exit interview, citation issued, appeal rights, and report provided.