Routine inspection (multi-day)·December 4, 2024

Licensing Program Analyst (LPA) Alviso conduct a continued annual inspection, and met with Licensee/Administrator Ryanne Tapnio. Annual was started on 11/5/24. Facility has a required infection control plan. Facility has a required emergency disaster plan. Facility has an approved hospice waiver for two (2) residents. There is an approved plan of dementia care. Fire clearance is approved for six (6) non-ambulatory, of which one may be bedridden. Per facility record reviews, emergency disaster drills are being conducted as required. Facility was observed by the LPA to be clean and orderly during the inspection. Food supply was sufficient. Medications were locked and inaccessible to residents in care. Cleaners and disinfectants were locked and inaccessible to residents in care. Sufficient supply of paper products, linens, furnishings, and personal protective equipment (PPE). Facility has a carbon monoxide detector and required smoke alarms. All exits were free and clear of obstruction. All common areas, hallways, bathrooms, and resident rooms had sufficient lighting for residents in care. Facility was at a comfortable temperature. LPA reviewed five (5) resident files, including medications/medication records. LPA reviewed three (3) staff files, including staff required training. LPA is requesting the following documents be updated and submitted by 1/4/2025: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required) Infection Control Plan (ensure to review and update as needed/required) Copy of LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash) Copy of Current Liability Insurance Resident Roster Copy of current Administrator Certificate There were no deficiencies cited during today's inspection. Exit interview held with the Administrator.