Routine inspection·May 6, 2025

On 05/06/25 around 01:15 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required Annual Inspection. LPA was greeted by Nalini Bhutani, Co-Administrator (ADM). The facility’s fire clearance was approved for six (6) non-ambulatory residents; hospice waivers for two (42). LPA requested the resident roster, staff roster, three (3) staff files, three (3) resident files. LPA observed a visitor sign-in log at the entry. Emergency Disaster Plan is posted. LPA and ADM toured the facility, including but not limited to bedrooms, bathroom, kitchen, common area, front yard and backyard. All indoor passageways were free of obstruction. There were not any bodies of water present. Residents were dining for lunch, and watching television. A comfortable temperature for residents was maintained at 72 degrees Fahrenheit (F), and the water temperature measured at 117.8 F. LPA observed lighting in all rooms to be adequate for the comfort and safety of all the residents. The bathrooms were safe, sanitary and in operating condition. Hand washing posters, auto air dryer, and soap observed at hand washing stations. Linen and hygiene supplies were available for all residents. PPE and paper goods remain sufficient. There is a minimum supply of 2-day perishables and 7-days of non-perishable foods. continued on LIC809C... ...continued from LIC809 Smoke detectors/carbon monoxide were in operating condition during visit. Fire extinguisher last serviced on 11/22/24, first aid kit is stored in a locked medication room, and the last emergency disaster drill was conducted on 02/2024 with the fire department; next quarterly drill to include all staff and residents. The following forms are to be updated: -Designation of Administrative Responsibility -Case Management inspection TBD to view detached Staff Room; key is not available during visit. Exit interview conducted and a copy of this report provided to Nalini Bhutani, Co-Administrator.