Select Senior Living II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 11:20AM. LPA met with staff upon arrival and Administrator Kim Anderson who arrived shortly thereafter. Entrance interview conducted. Beginning at 11:30AM, the LPA, along with the Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN/LAUNDRY: At 11:30AM, LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility had a sufficient supply of perishable and non-perishable food. Knives, sharps, cleaning supplies, and disinfectants are stored inaccessible in locked cabinets and drawers. The laundry unit is adjacent to the kitchen and detergents were maintained locked and inaccessible. GARAGE: The garage is maintained locked and inaccessible. LPA observed incontinence supplies, an additional refrigerator/freezer, and a emergency food and water supply. BEDROOMS: There are seven (7) total bedrooms in the facility; six (6) bedrooms are designated as private resident rooms and one (1) is designated as a staff room. The staff room is kept locked. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All resident bedrooms have exits to the exterior and were equipped with functional auditory exit alarms. Report Continued on LIC 809-C. BATHROOMS: There are four (4) bathrooms. Three (3) are designated for resident use and one (1) is a staff/guest restroom. LPA observed bathrooms to be clean, sanitary, and in operating condition with slip-resistant surfaces and grab bars. Hot water temperatures were measured in resident bathrooms and were between 109.2-111.2 degrees F, which is within the required range. COMMON AREAS: These include the living room and dining area. Common areas were appropriately furnished and in good condition. The facility maintained a comfortable temperature. Smoke detectors, fire doors, and carbon monoxide detector were tested at 11:59AM and were operable. LPA observed a fire extinguisher which was fully charged and purchased on 06/03/2025. Required posters were displayed throughout the common areas. Activities were observed in the common areas. A non-functional fireplace was noted in the living room. OUTDOOR AREA: The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed one (1) self-latching gate that was equipped with a functioning alarm. There were no bodies of water noted at the time of the visit. MEDICATIONS: Medications review began at 11:50AM; medications are centrally stored and kept inaccessible in a medication cart by the laundry unit. LPA reviewed medications for two (2) residents. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs were properly documented and logged. Medications were observed to be properly documented on the centrally stored medications and destruction record and were in compliance with regulation, state, and federal law. RECORD REVIEW: LPA began record review at 12:10PM. LPA reviewed five (5) out of five (5) resident files for documents including, but not limited to: appraisals, medical records, admissions agreement, and consent forms. LPA reviewed four (4) personnel records for documents including, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All resident and personnel files were in order and had no missing documents. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually. Emergency disaster drills are conducted quarterly as is required, with the last drill conducted on 09/18/2025. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 22, 2025

Allegation investigated: Facility did not involve the prospective resident or his/her responsible person, in the development of the appraisal Facility did not properly disclose preadmission fee

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a subsequent complaint investigation at 10:55AM. Upon arrival, LPA met with staff and Administrator Kim Anderson who arrived at 11:10AM. Entrance interview conducted. During today’s visit, LPA Barutyan conducted a brief physical plant tour at 10:57AM, interviewed five (5) staff between 11:02AM-12:40PM, and reviewed and obtained copies of pertinent documents. During the initial visit on 12/16/2024, LPA Z. Chochian reviewed resident files and obtained copies of pertinent documents at 03:20PM, discussed allegations with Ms. Anderson, and toured the facility physical plant inside/outside at approximately 4PM. Report Continued on LIC 9099-C. Unsubstantiated It was alleged that Resident #1 (R1)’s needs and services appraisal was not signed by R1’s responsible parties and that facility staff did not involve R1’s responsible parties in developing the appraisal. LPA reviewed R1’s needs and services appraisal which was completed and signed by Administrator Anderson on 05/28/2024. The appraisal was complete and addressed R1’s socialization, emotional, mental, physical/health, and functioning skills needs and objectives. Per interviews, Administrator reviewed the appraisal with R1’s responsible parties and a formal meeting was scheduled to further review and address concerns specifically regarding dementia care. On 07/12/2024, Administrators Anderson and Dylan Hull, along with two (2) responsible parties for R1 were present, either in-person or telephonically, to discuss the appraisal. One (1) responsible party agreed to the care plan and gave verbal consent over the phone, while the other responsible party present did not sign the care plan. Administrator Hull signed the needs and services appraisal on 07/12/2024. Per interviews, responsible parties agreed to the care that was specified in the appraisal. Administrator was knowledgeable in preplacement and appraisal protocol. LPA also reviewed R1’s pre-placement appraisal signed by all parties (Administrator Anderson and R1’s responsible party) and dated 5/20/2024 and R1’s resident appraisal signed by all parties and dated 05/28/2024 which document the elements of care in R1’s needs and services appraisal. Based on interviews and record review, the information obtained during the investigation does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation “Facility did not involve the prospective resident or his/her responsible person, in the development of the appraisal” is deemed UNSUBSTANTIATED at this time. It was further alleged that the preadmission fee was not properly disclosed to R1’s responsible parties. LPA reviewed R1’s admission agreement signed by R1’s responsible party and dated 05/21/2024 which documents preadmission fee disclosures on page 4 of 17. Under “PRE-ADMISSION FEE (Section 87507(g)(5)(E)(1)” the admission agreement states, “Select Senior Living requires a non-refundable Pre-Admission Fee (aka Community Fee) equal to the first month total on or before admission. This Fee covers the costs incurred by Select Senior Living to process your application and other materials, including your physician's report, perform a pre-admission appraisal, functional assessments, develop your care plan, and admit you to the Community. The Pre-Admission Fee is not a security deposit or last month payment. It is refundable in whole or in part under the following conditions…” Report Continued on LIC 9099-C. The admission agreement documents a preadmission fee amount that is $3000.00 less than the monthly rate being charged. It was alleged that the preadmission fee was not disclosed until R1 was scheduled to move in and the last step required was signing the admission agreement. LPA interviewed staff who stated that the preadmission fee is discussed up-front during facility tours and is also disclosed on the admission agreement which residents or their responsible parties must sign prior to admission. R1’s admission agreement was signed by their responsible party, and therefore the preadmission fee was agreed upon. Based on interviews and record review, the information obtained during the investigation does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation “Facility did not properly disclose preadmission fee” is deemed UNSUBSTANTIATED at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, May 7, 2025 · control 29-AS-20241206165420

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:45 a.m. Upon arrival, LPA Mosley was greeted by staff and called the administrator to inform them of the visit. The administrator arrived shortly thereafter. The LPA met with Kimberly Anderson – Administrator and explained the reason for the visit. Dylan Hull - Administrators / Licensee Representative arrived during the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA inspected the kitchen/food service area at 10:40 a.m. Knives and sharps were observed in a locked cabinet. Kitchen appliances were in operable condition. Chemical storage is kept locked under the sink. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 117.1 degrees Fahrenheit at 10:42 a.m. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 3:24 p.m., hardwire combination of smoke / carbon monoxide detector and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 5/28/2024. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 08/27/2024 and conducted quarterly. Activities were observed in the common areas. A non-functional fireplace was noted in the living room. Adjacent to the kitchen is a laundry room, with a washer and dryer. Laundry detergent was observed in a locked cabinet above the washer and dryer. Report Continued on LIC 809C 2nd page... Report Continued from LIC 809... (LIC 809C... 2nd page) RESTROOMS: There are four (4) restrooms. Three (3) are designated for resident use and one (1) is a staff/guest restroom. Resident restrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the bathrooms. The restrooms were sufficiently stocked with supplies and paper towels. The water temperature was measured in resident restrooms ranging between 113.5 -114.4 degrees Fahrenheit all within the required range. BEDROOMS: There are seven (7) total bedrooms in the facility; six (6) bedrooms are designated as private resident rooms and one (1) staff room. The staff room is kept locked. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. GARAGE/BACKYARD: The garage is maintained locked at all times. LPA observed an adequate amount of emergency food and water. Cleaning supplies are kept in the garage locked and inaccessible to residents in care. The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit. MEDICATIONS: Medications review began at approximately 12:06 p.m. The medications are in a locked medication cart adjacent to the kitchen. Medications for four residents were reviewed. Medications reviewed were found to be self administered as prescribed and documented on the centrally stored medication and destruction records. (LIC 809C... 2nd page) Report Continued to LIC 809C.. 3rd page . Report Continued from LIC 809C 2nd page LIC 809C 3rd page RECORDS: Record review began at approx. 11:00 am. Personnel Records were reviewed beginning at 11:07 a.m. and Resident Records at 11:45 a.m. Six (6) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. Four (4) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INTERVIEWS: Two (2) staff interviews were conducted. Six (6) resident interviews were attempted, two (2) interviews were conducted during the inspection. No deficiencies were cited during today’s inspection. Exit interview conducted. A copy of the report provided via email due to printer issues.the state’s words, verbatim · CDSS document, Oct 11, 2024