The facility’s most recent inspection on October 14, 2024, found it clean, well-maintained, and ready for licensure, with no deficiencies noted. Earlier in September 2024, an office evaluation confirmed compliance with licensing requirements and staff understanding of regulations, also without any deficiencies. There were no complaints or enforcement actions reported in the available records. The reports show a consistently positive record with no issues related to resident care, safety, or regulatory compliance. This suggests the facility has maintained good standards leading up to its licensure.
Deficiencies per Year
43210
2024
Census Over Time
CensusCapacity
Inspection Report Original LicensingCensus: 91Capacity: 116Deficiencies: 0Oct 14, 2024
Visit Reason
The inspection was conducted as a prelicensing visit for a Change of Ownership (CHOW) to evaluate the facility's readiness for licensure.
Findings
The facility was found to be clean and clutter free with some visible carpet stains. Fire safety equipment and detectors were operable and recently serviced. The facility has adequate food supplies, PPE, liability insurance (to be renewed soon), and ample activities for residents. Overall, the facility is ready for licensure.
Report Facts
Residents receiving hospice services: 28Fire clearance bedridden capacity: 20Hot water temperature range (Memory Care): 112.2Hot water temperature range (Memory Care): 116.6Hot water temperature range (Assisted Living): 105.8Hot water temperature range (Assisted Living): 111.8Fire extinguisher service date: Feb 23, 2024Carbon monoxide detector service date: Oct 3, 2024Smoke detector service date: Oct 4, 2024Liability insurance renewal deadline: Oct 18, 2024Number of memory care bedrooms: 21Food supply duration (perishable): 2Food supply duration (nonperishable): 7
Employees Mentioned
Name
Title
Context
Karen Roper
Executive Director
Met with Licensing Program Analyst during inspection and accompanied tour
The visit was an office evaluation conducted via telephone call with the Community Care Licensing Analyst to complete Component II (COMP II) of the licensing process, including verification of applicant and administrator identification and understanding of Title 22 regulations.
Findings
COMP II was successfully completed with confirmation of the applicant and administrator's understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
Name
Title
Context
Karen Roper
Administrator
Participant in COMP II and confirmed understanding of Title 22
Steven Atlas
CEO
Participant in COMP II
Shannon Betker
Analyst
CAB analyst conducting COMP II
Jude De La Concepcion
Licensing Program Manager
Named in report as Licensing Program Manager
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