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25 | On 12/28/22, Licensing Program Analyst (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit, and met with Executive Directory Krystal Jenkins.
The facility is a 164 bedroom of which 116 bedrooms is in assisted living and 48 bedrooms is in memory care. Fire clearance is granted by the local Fire Department for 156 non-ambulatory and 8 bedridden for total capacity of 164.
LPA conducted a tour inside and outside of the facility. The following areas were toured and inspected:
1st Floor: Administration offices, Front Lobby, Mail Room, Fitness Center, Laundry Room, Supply Room, Private Dining Room, Dining Area, Medication Room, Kitchen, Lounge room, Activity rooms, and a sample of rooms.
2nd Floor: Hair Salon, Laundry Room, Lounge room, Medication Room, Gym, Theater, Supply room, and a sample of rooms.
Memory Care: Laundry Room, Dining room, and Activity room, and a sample of bedrooms.
LPA observed bathrooms to be functioning properly with grab bars. Bathrooms temperature range from 108.2 to 109.4 degree in Assisted Living and 108.4 to 110.5 degree in Memory Care.
Food supply was checked and appeared to be an adequate supply. Refrigerator temperature maintained at 40-degree F and Freezer temperature maintained at 0-degree F. Emergency exits are posted. A fire extinguisher observed in every hallway and observed with service date of 10/10/22. First Aid kit located at facility front desk, kitchen and medication rooms with required items. Medications were kept locked and inaccessible to residents in care in medication room. A sample of resident records were reviewed. LPA observed resident Admission Agreements, Pre-Appraisal, and Physician Reports. A sample of staff records were reviewed to have a criminal record clearance and good health screening.
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