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25 | Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Executive Director Kimberly Garcia. According to the facility’s license, the facility has a maximum capacity of 177 non-ambulatory residents, of which 30 may be bedridden. The facility has an section of unlicensed independent living buildings on the west side of the property.
LPA toured the interior and exterior of the facility and inspected seven rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Water temperature in residents rooms were measured all between 105 degrees F and 118 degrees F. Water temperature in common bathroom measured 115 degrees F.
LPA toured and observed the commercial kitchen and walk-in freezer/refrigerator. Cooking/dining equipment and utensils were present. There was sufficient perishable food and at least two weeks worth of non-perishable food.
LPA observed the medication room and first aids were complete and readily accessible. Medications were labeled, as required, and stored in locked medication carts. Resident records contained the required documentation. Staff records contained the required documentation.
No pools or bodies of water on the licensed portion of the facility. Per Executive Director, no firearms or ammunition are kept at the facility. Fire extinguishers were readily accessible on each floor.
No deficiencies were cited on todays visit. An exit interview was conducted with Executive Director Kimberly Garcia, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to during the visit.
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