Solvang Friendship House

Type of visit: Required - 1 Year

At 8:30am on 07/09/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with facility Administrator, Tammy Westwood, announced who he is and the reason for the visit being the facility annual inspection. Administrator and LPA conducted physical walk through of the entire facility. This facility is located in an in-closed compound with two exterior car gates and one exterior pedestrian gate. There are 5 resident buildings and a day program building with a large kitchen that serves the entire campus. Building 11 and building 5 also have small kitchens. LPA observed at least 2 days of perishable foods and 7 days of non-perishable foods in the main kitchen to service 40 residents and staff. LPA conducted a physical inspection of all buildings and sample rooms in each building. LPA noted that rooms are properly equipped with furniture and linins. LPA noted that all buildings had two or more fire extinguishers that are all primed in the green. All buildings have two or more carbon monoxide detectors that were tested and functioning properly. LPA noted that on 05/28/2026, Nargan Fire & Safety Co. Inc. conducted a fire safety inspection on the internal fire detection system for all building on campus with a passing rating. LPA noted all buildings have a compete first aide kit. LPA noted that there is a medication room that services the entire campus, and there is a medication cart in building 11 and all other buildings have locked and secured medication cabinets. LPA noted that there are several seating areas outside that have seating and shade via pergola or umbrella for resident activities and visitation. LPA noted that the facility was clean and in good repair and all exits were free and clear of obstacles and debris. LPA conducted a review of facility Infection Control Plan, Emergency Disaster Plan, Liability insurance, Centrally Stored Medication Records, Plan of Operations, Staff and Resident files and found no issues. Administrator and LPA conducted a full review of annual care tools and found no issues. At this time there are no violations or citations as a result of the facility annual inspection. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Jul 9, 2026

Type of visit: Required - 1 Year

At 9:00am on 07/08/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with facility Administrator, Tammy Westwood, announced who he is and the reason for the visit being the facility annual inspection. Administrator and LPA conducted physical walk through of the entire facility. This facility is located in an in-closed compound with two exterior car gates and one exterior pedestrian gate. There are 5 resident buildings and a day program building with a large kitchen that serves the entire campus. Building 11 and building 5 also have small kitchens. LPA noted that there was fresh fruit out in all buildings. LPA observed at least 2 days of perishable foods and 7 days of non-perishable foods in the main kitchen to service 40 residents and staff. LPA conducted a physical inspection of all buildings and sample rooms in each building. LPA noted that rooms are properly equipped with furniture and linins. LPA noted that all buildings had two or more fire extinguishers that are all primed in the green. All buildings has two or more carbon monoxide detectors that were tested and functioning properly. LPA noted that on 11/14/2024, Nargan Fire & Safety Co. Inc. conducted a fire safety inspection on the internal fire detection system for all building on campus with a passing rating. LPA noted all buildings have a compete first aide kit. LPA noted that there is a medication room that services the entire campus, and there is a medication cart in building 11 and all other buildings have locked and secured medication cabinets. LPA noted that there are several seating areas outside that have seating and shade via pergola or umbrella for resident activities and visitation. LPA noted that the facility was clean and in good repair and all exits were free and clear of obstacles and debris. LPA conducted a review of facility Infection Control Plan, Emergency Disaster Plan, Liability insurance, Centrally Stored Medication Records, Plan of Operations, Staff and Resident files and found no issues. Administrator and LPA conducted a full review of annual care tools and found not issues. At this time there are no violations or citations as a result of the facility annual inspection. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Jul 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rankin arrived at 10:01 am to conduct a 1-year annual visit to the facility above. LPA met Administrator Tammy Westwood and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Infection Control: The facility has submitted a current Mitigation Plan, Infection Control Plan, Emergency Disaster Plan and provided plans to the department. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has a 30-day supply of PPE. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers. Physical Plant & Environment Safety: The facility is clean, safe, and sanitary. LPA was authorized to enter and inspect facility. The dual smoke and carbon monoxide detectors are hard wired along with a sprinkler system and are operational, last reviewed and tested by an inspector on 5/28/24. Fire extinguishers located in several areas throughout the property were inspected on 6/12/24 and were charged in the green. There are no issues noted at this time fire clearances. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility kitchen is clean, safe, and sanitary. The showers have non-skid mats and/or surfaces. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care. The facility has telephone and internet service for resident use. Operational Requirements: The facility has current liability insurance and expires on 01/15/2025. The facility is approved for a capacity of 31 non-Ambulatory, 4 Bedridden and a waiver for Hospice total of 6. Personnel Records & Training: The facility currently employes 53 staff and 1 Administrators. Staff records are kept confidential. LPA reviewed 5 staff files and required documents were present. All staff had current 1st AID/CPR. Staff had 20 plus hours of training during their facilities annual calendar. Administrator certificate expires on 03/20/2025. Resident Records: The facility keeps separate files on each resident confidentially. Five files were reviewed for signed Admission Agreements, Medical Assessments LIC. 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, and Personal Rights. The Facility does not handle cash resources for any of the residents in care. Food Service: The facility handles and prepares food safely. The facility has 2-day perishables and 7-day non-perishables to meet the food service requirement. All food is covered, stored, and marked appropriately. Food, snacks, and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. Kitchen areas are kept clean and free from litter, rodents, vermin, and insects. Kitchen staff are observed for personal hygiene and food sanitation practices. Health Related Services: The facility uses an electronic Medication Administration Record (eMAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). Medications are stored in locked medication cabinets in most buildings, one building had a medication cart. A sampling medication audit was conducted. Quarterly, a pharmacist comes to conduct a medication review, records were obtained for LPAs examination. Facility provides transportation to medical and dental appointments when needed. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drill last one done in April of 2024. The courtyards of the facility have outdoor furniture, with shaded areas for residents. There are six fountains with running water, however there was enough rocks to ensure little water on the surface. No issues observed. Planned Activities: Most residents, regardless of their abilities were out of their room among their peers and staff. There were activities noted such as gardening, puzzles, crafts, and a large, planned activity calendar. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Jul 15, 2024