Routine inspection·October 15, 2024

Licensing Program Analysts (LPAs) Maria (Mita) Partoza and Marcella Tarin conducted an unannounced required 1 year inspection visit and met with Business office Director (BOD) Mary Ann Bangsal. Administrator(ADM) Holly Suiter was not present due to required training. LPAs stated the purpose of the visit. The facility is licensed to serve adults 60 and over, 140 ambulatory, 8 non-ambulatory and hospice waiver for 15. At 2:18 p.m. LPA Tarin toured the facility inside and outside with maintenance director (MD) including but not limited to the kitchen, assisted living area, memory care, reception and exterior perimeters and walkways. The temperature inside the facility is at 75 degrees Fahrenheit. The kitchen was observed to be sanitary and organized, knives and sharps were locked and not accessible to residents. LPA observed 2 days of perishable food and 7 days of non-perishable food. The kitchen water temperature measured at 107.9 to 112. 4 degrees Fahrenheit. The bathroom/s are equipped with grab bars, non-skid floors. The water temperature in the bathroom measured at 112.4 degrees Fahrenheit and rooms have sufficient storage. The facility is equipped with a fire, smoke and carbon monoxide alert system that is in good working condition, night lights on the hallway are in good working condition. The hallway are free from obstruction. Fire extinguishers were last serviced 12/15/2023. page 1 of 2, see LIC 809C LPA reviewed 5 resident records such as but not limited to the centrally stored medication and destruction record (CSMDR), admission agreement, needs and services plan, health screening and observed records to be complete and updated. LPA reviewed 5 staff records including but not limited to required training, first aid/CPR training, health screening and background clearance. All staff have criminal record clearance/fingerprints. 3 out of 5 were care providers. 1 Out of 5 is a server and 1 out of 5 is a housekeeper. No deficiencies were cited during today's visit based on California Code of Regulation (CCR) Title 22. An exit interview was conducted with Business Office Director (BOD) Mary Ann Bangsal and a copy of the report was provided. page 2 of 2 end of report