Routine inspection·March 30, 2023

License Program Analyst (LPA) Hansen arrived unannounced to conduct an Annual Required - 1 Year inspection of the facility. LPA was welcomed by front desk Melanie Viljoen. LPA met with Business Office Manager Tolu Faaita for today's inspection as Administrator Camille Brown was unavailable. There is a total of 48 residents. There are 13 residents currently on Hospice. LPA toured the facility on 03/30/2023 at 11:30 AM with Talu Faaita, Business Office Manager (BOM) and Director of Environmental Services Kyle Manford; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. The tour of the facility included eight resident apartments, activity rooms, Library, music room, dining rooms, kitchen and outdoor patios & courtyard. Fire Extinguisher was found to be last charged on 12/14/2022 at the time of the visit. Facility smoke detectors are hard wired and sound directly to the fire station. Smoke detectors and fire sprinklers are inspected, and inspection records are current with the last inspection being conducted on 10/28/2022. LPA observed 4 out of 4 Carbon monoxide detectors that were found to be operational during the visit. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occur. Hot water temperature measured between 112.1 degrees F and 118.2 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 8 of 8 resident’s bathrooms while touring facility. Bathrooms contained necessary grab bars and showers contained non-slip floor/mats . Facility serves residents with dementia and has special care plan of operation and programming. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations at the time of the visit. Food was found to be handled and stored in a safe manner. Continued on LIC809C LPA initiated a file review of four resident files and five personnel files but were unable to complete. LPA was also unable to review medication and will return at a later date to complete annual inspection. No deficiencies cited during today's inspection