Select Senior Living III

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility to conduct a required annual visit. Upon arrival, LPA met with Administrator, Kim Anderson and the reason for the visit was explained. Entrance interview conducted. At 1:45 p.m., the LPA along with the Administrator 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 kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of two (2) day perishable and seven (7) day non-perishable food. Food labels observed and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a drawer. Cleaning supplies were stored under the kitchen sink locked and inaccessible. There were no pesticides or poisons observed near any food areas. LIVING ROOM/DINING ROOM: The common areas were observed to be properly furnished and relatively clean at the time of the visit. Furniture was observed to be in good condition. Fireplace was observed to be adequately screened at the time of the visit. The facility maintained a comfortable temperature. Fire extinguishers were observed fully charged and purchased in 06/2025. The LPA observed required postings throughout the common spaces. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. There is a washer and dryer on the premises. Activities were observed in the common areas. BEDROOMS: There are six (6) resident bedrooms. The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. There is one (1) staff bedroom that is locked at all times. (Continue to LIC809c) BATHROOMS: There are five (5) total bathrooms, three (3) for resident use, one (1) staff/guest and one (1) in the staff room. Resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The hot water was measured in each bathroom ranging within 105 - 120 degrees Fahrenheit. GARAGE/OUTDOORS: Garage access is from the outside; is kept locked and inaccessible at all times. Refrigerators observed with additional food. An adequate supply of emergency food and water was observed. Sufficient supply of Personal Protectant Equipment (PPE) observed. Cleaning supplies and toxins were observed in the garage inaccessible to residents in care. The backyard has a shaded area with furniture for resident use. The LPA observed one gate that self-latches with a clear passageway in case of an emergency on one side of the house. There were no bodies of water noted at the time of the visit. RECORDS: Records review began at 2:15 p.m., three (3) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All files were in order at this time. Four (4) Personnel records and 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. MEDICATIONS: Medications review began at approximately 3:30 p.m. Medications are centrally stored in a cabinet by the kitchen locked and inaccessible to residents in care. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. At approximately 4:30 p.m., the smoke detector(s) and carbon monoxide detectors were tested and observed operational during todays visit. 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 as required. 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 27, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 9:35 a.m. Upon arrival, there were two staff and five residents present. One resident is currently at the hospital. The Administrator, Kim Anderson arrived shortly after and the reason for the visit was explained. Entrance interview conducted. At 9:45 a.m., the LPA along with the Administrator 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 toured the kitchen/food service area at 10:00 a.m. The hot water was measured at 112.6 degrees Fahrenheit at 10:03 a.m. The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of two (2) day perishable and seven (7) day non-perishable food. Food labels were inspected and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a drawer. Cleaning supplies were stored under the kitchen sink locked and inaccessible. There were no pesticides or poisons observed near any food areas. LIVING ROOM/DINING ROOM: The LPA inspected the living room and dining room area. The common areas were observed to be properly furnished and relatively clean at the time of the visit. Furniture was observed to be in good condition. Fireplace was observed to be adequately screened at the time of the visit. The facility maintained a comfortable temperature. (Report Continued on LIC 809C...) (Report Continued from LIC 809...) At 1:05 p.m., the smoke detector(s) and carbon monoxide detectors were tested and operational. Fire extinguishers were observed fully charged and purchased on 05/27/24. The LPA observed required postings throughout the common spaces. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. There is a washer and dryer on the premises. The last emergency disaster drill took place on 08/21/2024 and are conducted quarterly. Activities were observed in the common areas. GARAGE/OUTDOORS: There is a garage that is kept locked and inaccessible at all times. There was another refrigerator observed with additional food. An adequate supply of emergency food and water was observed. The LPA observed a sufficient supply of Personal Protectant Equipment (PPE). Cleaning supplies and toxins were observed in the garage inaccessible to residents in care. The backyard has a shaded area with furniture for resident use. The LPA observed one gate that self-latches with a clear passageway in case of an emergency. There were no bodies of water noted at the time of the visit. BEDROOMS: There are six (6) resident bedrooms. The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. There is one (1) staff bedroom that is locked at all times. BATHROOMS: There are five (5) total bathrooms,three (3) for resident use, one (1) staff/guest and one (1) in the staff room. Resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The hot water was measured in each bathroom within 105 - 120 degrees Fahrenheit between 9:56 a.m. and 10:12 a.m. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) RECORDS: Records review began at 10:20 a.m., six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All files were in order at this time. Three (3) Personnel records and 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 files were in order. MEDICATIONS: Medications review began at approximately 12:17 p.m. Medications are centrally stored in a cabinet by the kitchen locked and inaccessible to residents in care. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. No medication errors observed at this time. The LPA interviewed three (3) staff, and one (1) resident during the inspection. During today’s visit, the LPA obtained copies of the following: LIC 500 Personnel Report, LIC 9020 Resident Roster, and current liability insurance. No deficiencies were cited during today’s inspection. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 24, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. Upon arrival, there were two staff and five residents present. The Administrator, Kim Anderson arrived at 9:40 a.m. and the reason for the visit was explained. Entrance interview conducted. At 9:45 a.m., the LPA along with the Administrator 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 toured the kitchen/food service area at 9:50 a.m. The hot water was measured at 110.3 degrees Fahrenheit at 9:51 a.m. The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a drawer. Cleaning supplies were stored under the kitchen sink locked and inaccessible. There were no pesticides or poisons observed near any food areas. LIVING ROOM/DINING ROOM: The LPA inspected the living room and dining room area. The common areas were observed to be properly furnished and relatively clean at the time of the visit. Furniture was observed to be in good condition. Fireplace was observed to be adequately screened at the time of the visit. The facility maintained a comfortable temperature. (Report Continued on LIC 809C...) (Report Continued from LIC 809...) At 10:04 a.m., the smoke detector(s) and carbon monoxide detectors were tested and operational. Fire extinguishers were observed fully charged and purchased on 05/15/2023. The LPA observed required postings throughout the common spaces. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. There is a separate room with a washer and dryer that is kept inaccessible to residents at all times. GARAGE/OUTDOORS: There is a garage that is kept locked and inaccessible at all times. There was another refrigerator observed with additional food. An adequate supply of emergency food and water was observed. The LPA observed a sufficient supply of Personal Protectant Equipment (PPE). Cleaning supplies and toxins were observed in the garage inaccessible to residents in care. The backyard has a shaded area with furniture for resident use. The LPA observed one gate that self-latches with a clear passageway in case of an emergency. There were no bodies of water noted at the time of the visit. BEDROOMS: There are six (6) resident bedrooms. The resident bedrooms were properly furnished with a bed, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. There is one (1) staff bedroom that is locked at all times. BATHROOMS: There are three (3) bathrooms for resident use. Resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The hot water was measured in each bathroom within 105 - 120 degrees Fahrenheit between 9:48 a.m. and 10:00 a.m. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) RECORDS: Records review began at 10:18 a.m., five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All files were in order at this time. Two (2) Personnel records and 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 files were in order. Although the facility does not have Personnel files at the facility; they are readily available upon request. Fire and earthquake drills were conducted within the last 6 months as per regulation; the last one conducted 09/14/2023. MEDICATIONS: Medications review began at approximately 12:10 p.m. Medications are centrally stored in a cabinet by the kitchen locked and inaccessible to residents in care. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. No medication errors observed at this time. The LPA interviewed one (1) staff during the inspection. During today’s visit, the LPA obtained copies of the following: LIC 500 Personnel Report, LIC 9020 Resident Roster, and current liability insurance. Exit interview conducted. A copy of the report were provided.the state’s words, verbatim · CDSS document, Oct 16, 2023