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25 | Licensing Program Analysts (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Rodgers was granted entry into the facility by Executive Director Melissa Watkins, identifying herself and stating the purpose of the inspection. This facility serves 90 non-ambulatory residents 60 and above. Approved for Hospice waiver for 10.
A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. This a two-story building with a courtyard in the middle of the property. There are no water features on the property. Facility does not feature delayed egress doors or a locked perimeter.
Each resident had clean and sufficient bed linens. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Hot water temperature in residents’ bathrooms were compliant.
Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid kit(s) were complete and readily accessible in the medication room. Required licensing postings were observed in visible areas of the facility. PPE supplies are onsite. Passageways were free from obstructions.
[CONTINUED ON LIC 809-C]
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