Routine inspection·May 1, 2025

Licensing Program Analyst (LPA) Alviso conducted Required - 1 Year inspection, on 5/1/25 at approximately 9:20am, and met with Administrator Eric Perry. LPA toured the facility, assisted living, including the memory care unit, with Administrator Eric Perry, and Maintenance Director, Abraham Bautista.. 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 an infection control plan as required. Facility has emergency food and other emergency supplies to meet the seventy-two (72) hour shelter in place requirements. Per emergency disaster drill records, last emergency disaster drill was conducted on 4/17/25, and 3/20/25. LPA reviewed ten (10) resident files. All files were complete. LPA reviewed ten (10) staff files. LPA reviewed staff training. All staff had criminal record clearance as required. The first floor is all assisted living, and the second floor is assisted living, which also houses a memory care unit. All stairwells, total of three (3), had the required evacuation chairs, and instructions posted on how to use the chair. All exits were observed to be free and clear of obstruction. The memory care unit, and assisted living areas were observed to be clean and orderly, The memory care has a keypad for entry into the memory unit, through a delayed egress door. There was sufficient lighting in the facility, in all hallways, common areas, and observed resident rooms and bathrooms for residents' use. Continued on LIC809C,,, The medication rooms have medications centrally stored, locked up, and inaccessible to residents in care, and inaccessible to staff that that are not trained to assist residents with medications; There were small refrigerators in the medication rooms, for medications that need to be refrigerated. LPA reviewed medication records and medication logs, for routine medications, narcotic medications, and PRN medications. Housekeeping carts observed in the facility were found to be locked, making cleaners/disinfectants inaccessible to residents in care. Bathrooms have grab bars, and non-slip flooring/mats for residents use. Hot water was measured at 116.4 and 118.2 degrees Fahrenheit, which is within regulation. Fire extinguishers that were checked were found to be serviced and tagged as required. Facility had sufficient paper products, cleaners/disinfectants, and personal protective equipment (PPE). There is an outside courtyard patio for resident use in the memory care, which includes patio furnishings. The assisted living area has outside patios for residents use. LPA observed some of the memory care residents participating in an activity, chair exercise game, being provided by the staff. LPA observed AL residents preparing to go out on an activity in the community. The facility has activities in the facility for all residents, and has various outings into the community for memory care residents, and assisted living residents, as part of the activity calendar. LPA is requesting the following documents be updated and submitted by 6/1/25. LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report -ensure all staff are listed/titles/days & hours working 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) Form must be completed by all licensees. Copy of current Administrator Certificate Copy of current Liability Insurance. There were no deficiencies cited during today's inspection. Exit interview was conducted with the Administrator, Eric Perry.