Routine inspection (multi-day)·June 20, 2024

Licensing Program Analyst (LPA) Alviso conducted an annual continuation inspection, on 6/20/24 at approximately 12:50pm, and met with Administrator Eric Perry. Annual inspection started on 5/7/24. 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. Facility is conducting emergency/disaster drills as required. The LPA reviewed seven (7) resident files. All files were complete. The LPA reviewed seven (7) staff files. All staff had required criminal record clearance. All staff had required training. All medications were locked and inaccessible to residents in care. All cleaners/disinfectants were locked up and inaccessible to residents in care. Sufficient supply of Personal Protective Equipment (PPE). There were no deficiencies cited during today's inspection.