Routine inspection·February 21, 2023

THIS IS AN AMENDED REPORT. On 2/21/23 at 2:43 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and met with Administrator (ADM) Jeff Moyer. Due to recent updated CCL guidance via PIN 23-02-ASC, visitor and resident screening was not in effect. Facility was toured with ADM. Hand sanitizer was readily available to residents and visitors. Residents have single or shared apartments. Resident medication checked. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Administrator certification is valid. During today’s inspection, ten out of thirteen residents sampled were found to have disinfectants and/or cleaning solutions such as Comet, Windex, Resolve, Fabuloso in their apartments and one resident was observed with a knife set in a knife block on their kitchenette counter. LPA reviewed the LIC 602 “Physician’s Report” for this resident and observed that resident does not have a diagnosis of dementia, is able to manage their own medications, and can have access to their own hygiene items. A deficiency was not issued for Section 87309(a) which states “Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.” However, facility was advised to review the LIC602A for each resident to determine if having access to items such as cleaning solutions and knives would pose a danger to the resident. If a resident cannot manage their own medications or have access to hygiene items per their physician, having access to other items such as knives or cleaning solutions may also pose a risk unless the physician states otherwise. The following updated forms are to be submitted within two weeks: LIC500, LIC9020, LIC610E, LIC308 No deficiencies cited during this inspection. Exit interview conducted. A copy of this report was given to Administrator Jeff Moyer, whose signature confirms receipt of this report.