Routine inspection·May 9, 2024

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Jasmine Latu. LPA toured the facility inside and out with ADM. License, Administrator Certificate, and personal rights posters were observed in the facility. 36 residents and 17 staff were in the facility during LPA's visit. LPA reviewed 5 resident file and 5 staff files. LPA toured the first floor with ADM including the front desk, the offices, multiple purpose room, dining room, kitchen, living room and restrooms. LPA toured the second floor memory care unit with ADM including 22 apartments, dining room, activity room, living room, laundry room, storage room and restrooms. LPA toured the third floor assisted living Unit with ADM including 30 apartments, Med room, activity room, living room, laundry room, chemical storage room and restrooms. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication room, Medication carts, knives closet, and chemical storage room, and laundry rooms were observed locked. Room temperature was at 75 degree F, and hot water temperature was at 110 degree F in facility. The temperature of the refrigerator was at 37 degree F, and the temperature of the freezer was at 0 degree F. Fire extinguisher was serviced on 06/6/2023. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. ADM showed the test report for smoke detector, fire alarm and elevators dated 4/23/2024, and it shows they were working. First aid box and flash lights were observed in the facility. Courtyard was inspected. There was no obstruction to block the walkways. ADM stated the last time the facility conducted the emergency and fire drill was on 4/26/2024. Deficiencies were noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.