Routine inspection·August 26, 2021

Licensing Program Analyst (LPA) Martha Guzman Chavez conducted an unannounced Required 1-year inspection at the facility today with focus on Infection Control. LPA met with Administrator Sarah Dodd and explained the reason for today's inspection. Entrance interview conducted. At 10:45 AM LPA and Administrator began a physical plant tour to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Infection control practices were reviewed with the administrator and observed during the inspection. Required signs were observed during the inspection. LPA observed signs posted on proper hand washing etiquette. The facility's dining room and kitchen were observed. LPA observed facility had a sufficient supply of perishable and non-perishable food and food was stored at appropriate temperatures. All knives are locked inaccessible to residents. A random selection of four (4) resident rooms in assisted living and one (1) in Memory Care were observed between 10:52 AM and 11:57 AM. LPA observed the restrooms to be clean, sanitary and in operating condition with grab bars and non-skid mats inside the shower. Smoke alarms were tested in each room and were operational. The water temperature was tested and measured between 109.4 degrees F and 111.2 degrees F. LPA observed the resident bedrooms, which were furnished appropriately. Observed inside each room was a bed with clean linens, a night stand, and sufficient lighting. The carbon monoxide detector on the first floor of the facility was tested and operational. Fire extinguishers observed were fully charged and last serviced on 01/22/21. At 11:32 AM the medication room was observed. Medication is centrally stored and inaccessible to residents in care. First aid Kit and Manual were observed and complete. LPA conducted a random record review of eight (8) resident files, five (5) from Assisted Living and three (3) from Memory Care, as well as three (3) staff records. Continued on LIC 809c Continued from LIC 809 LPA observed at least a 30-day supply of Personal Protection Equipment (PPE). LPA observed housekeeping cleaning rooms as well as common areas during plant tour. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. Facility has not had another Positive since 8/06/2021. No deficiencies were observed during today's inspection. Exit interview conducted and report reviewed with the administrator. A copy of the report will be emailed to the administrator.