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25 | Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to this facility for a required annual inspection. Entry into the facility is unobstructed and LPA met with Executive Director (ED) Marguerite Crockem. The facility is approved for a Hospice Waiver for twenty (20) residents. The facility is approved for delayed egress. LPA and maintenance manager Enrique Serralta toured the interior of the facility. Inclement weather prohibited touring the facility's exterior but can be observed through windows throughout the facility.
Physical Plant: The facility is operating within capacity and not beyond the conditions of the license. There are no pools or other bodies of water located on the premises. The facility is being maintained at a comfortable temperature for residents for common areas. Residents are able to set individual temperatures within their unit. All passageways are kept free of obstruction. Hot water temperature was measured in five units at and random all measured within regulatory limits. There are grab bars for each toilet, bathtub and showers used by residents. The facility has an operable signal system that is operable from the memory care unit. Fire safety installations such as extinguishers, sprinklers, and alarms are monitored by an authorized fire inspection outside company and LPA observed proof of inspection completed on 03/22/23, 01/23/24, and 12/08/23, respectively. The commercial kitchen was last inspected by the same third party company on 09/20/23. Fire extinguishers were observed to be charged. Overall the facility is in good condition; it is clean, sanitary and free of foul odors.
Kitchen and Food Service: The total daily diet provided to residents appears to be of the quality and in the quantity necessary to meet resident needs. There is a minimum of one week supply of nonperishable foods and two days of perishable food items. All readily perishable food or beverages capable of micro-organism growth are being stored in covered containers at appropriate temperatures. Commercial refrigerator and freezer are maintained within regulatory temperatures. Kitchen hood was last inspected by the same outside company on 09/20/23.
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