Routine inspection·May 7, 2024

Licensing Program Analyst (LPA) Alviso conducted Required - 1 Year inspection, on 5/7/24 at approximately 12:00pm, and met with Administrator Eric Perry. LPA toured the facility, including the memory care unit. Facility has an approved dementia plan of operation. There is an approved hospice waiver for twenty (20) residents. Fire clearance is approved for ninety-two (92) non-ambulatory, of which twenty (20) may be bedridden. The facility has an emergency disaster plan as required. The facility has a required infection control plan. Facility has a supplies to meet the seventy-two (72) hour shelter in place requirements. Every stairwell, four (4), had a required evacuation chair, with posted instructions on use. All common areas, observed bathrooms, and resident units had sufficient lighting as required. LPA observed meal service throughout the inspection for resident scheduled mealtimes. The food supply was sufficient. The kitchen was observed to be clean and orderly. All medications were locked and inaccessible to residents in care. The facility had all observed exits unobstructed. All fire extinguishers, eighteen (18), were serviced and tagged, 1/25/24, as required. First aid kits were observed to have all required items. Hot water was checked at 112. degrees Fahrenheit and 113.4 degrees Fahrenheit. The Department will continue this annual inspection at a later date.