Routine inspection·June 27, 2024

Licensing Program Analyst (LPA), Alviso, conducted a Required - 1 Year Inspection, and met with Administrator David Hanna and Resident Care Coordinator (RCC) Karrie Hanna. Currently twenty-four (24) residents in care, and one (1) resident on Hospice. Facility specializes in dementia care. Hospice care waiver approved for eight (8) residents. Facility has a required infection control plan, which is part of the plan of operation. Facility has a required emergency disaster plan. LPA reviewed six (6) resident files. All files were complete. LPA reviewed six (6) staff files. All staff had criminal record clearance as required. All staff had first aid, and cpr certification as required. Staff had required training. Fire clearance approval is for twenty-eight (28) non-ambulatory. All exits were cleared and free of obstruction. Fire extinguishers (5) are currently serviced and tagged as required. Sufficient food supply. Sufficient cleaner/disinfectants, personal protective equipment (PPE), paper products, furnishings, and linens. Sufficient lighting in hallways, bathrooms, resident rooms, and common areas. All postings were up and visible. Medications were locked up and inaccessible to residents in care. All cleaners/disinfectants were locked up and inaccessible to residents in care. LPA is requesting the following documents be updated and submitted by 7/27/24. LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610-Emergency Disaster Plan- if any updates submit copy- please ensure to date and sign last page Copy of Current Liability Insurance Infection Control Plan- if any updates submit copy- please ensure to date and sign last page No deficiencies cited today. Exit interview conducted with the Administrator.