Executive Director waived Comp III presentation due to CHOW status.

The fire marshal has approved the fire safety inspection request which includes approval of delayed egress or delayed egress with secured (locked) perimeter. The facility shall submit a new request for the locked perimeter which is currently in place for existing licensee. The facility is licensed for 49 non-ambulatory and 39 bedridden residents for a total capacity of 88 residents.

The inside of the facility was observed to be in generally good condition and repair. However, LPA did observe common areas of the facility that need to have the walls painted in the assisted living and memory care units. The carpeting in the common areas of the assisted living and memory care units is being cleaned and maintained but will need to be replaced soon. Technical assistance on this matter was provided during the inspection.

The facility has an assisted living section with 44 rooms and a memory care section with 16 rooms with the same number of bathrooms. There is a kitchen, two (2) dining rooms, laundry rooms, multiple common areas, office, and back yards in both the assisted living and memory care units. LPA observed ample seating for residents in the both dining rooms. LPA observed ample seating in common areas for residents to use.

Continued on LIC809-C

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

The kitchen was observed to be clean and in good repair. Food storage meets Title 22 regulation requirements. Plates, utensils, pots, and pans were in place during the inspection. All appliances were all present and working.

The facility has multiple fully charged fire extinguishers. LPA observed smoke alarms in all residents’ rooms and carbon monoxide detectors throughout the facility. The facility fire alarm / smoke alarm system is serviced and inspected quarterly by Cintas.

Resident rooms were observed to have furniture as required by Title 22 Regulations. All beds were made up with linens and bedspreads. Bathrooms were observed to be clean and in good repair. Storage and lighting are adequate in the resident rooms.

Medications are stored in locked medication carts.

Cleaning supplies and toxins are locked up in janitorial closets. The facility has three (3) laundry rooms with washers and dryers available for residents’ use. The facility also offers laundry services to residents and has a locked laundry room for this purpose.

There is a locking office space where resident and staff files are stored. Staff and resident files were reviewed.

There are covered patio areas in the assisted living and memory care sections of the facility with tables and seating for the residents to use. The memory care unit has a locked gate and the existing licensee has a waiver for the locked gate, the new licensee will apply for a waiver.

The applicant has passed the pre-licensing portion of the application process. LPA will contact the Central Application Bureau.

No deficiencies according to CCR Title 22, Division 6. Exit Interview was conducted and a copy of report was provided to the administrator.