Routine inspection·December 26, 2023

On December 26, 2023 Licensing Program Analyst (LPA) Murial Han conduct an annual inspection. LPA met with administrator, Freddie Fullon and explained the purpose of today's visit. Administrator provided a tour of the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a 6 floor facility; 1st floor being the entrance to the lobby, 2nd floor for Life Guidance (LG) residents and common areas, 3rd-6th for Assisted Living (AL) and Independent Living (IL). All floors have elevators. Medications are locked in the medication rooms and inaccessible to residents in care. A comfortable temperature is maintained between 71- 74 degrees F and lighting is sufficient for comfort. Chemicals, toxins, and sharps objects were locked and inaccessible to residents. 2 days of perishables and 7 days of nonperishable foods were observed for the residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 8/3/2023. Fire drill records observed to be sufficient. Egress delay door in the Life Guidance unit was tested to be adequate. Hot water temperature through-out the facility is measured at 106- 111 degrees F. LPA reviewed 5 resident records and all of them contained admission agreement, medical assessment- LIC 602 (Physician Order), Appraisal Needs and Service Plan, admission agreement, Resident Identification information, Pre-appraisal assessment, etc. LPA reviewed 5 staff files and all of them contained personnel records, health screening, COVID-19 vaccination information, Job Description, Abuse Statement, First Aide/CPR, Criminal Record Statement, fingerprint cleared and associated to the facility. No deficiency is cited. This report is reviewed and discussed with the administrator; a copy is provided.