Routine inspection·September 13, 2023

On 9/13/2023 at 10:00am, Licensing Program Analysts (LPAs) L. Alexander and L. Hall arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Vicki Vasconi, Resident Liason. Executive Director, Tracy Ingleman, arrived at 10:15am and explained the purpose of the visit. The facility’s fire clearance was approved for 169 non-ambulatory and 6 bedridden residents. LPAs toured the facility with Tracey including but not limited to 8 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F in independent living and 75 degrees F in memory care areas. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature measured at 138 degrees Fahrenheit in the front lobby area. Residents’ bathrooms are equipped with grab bars and non-skid shower floors. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 03/09/2023. Emergency Disaster Drill was last posted on 07/21/2023. First aid kit was observed to be complete. Fire drill was last conducted on 08/11/2023. Continued on LIC809C. Continued from LIC809C. LPAs reviewed ten (10) residents records all are current and complete. LPAs reviewed eleven (11) staff records all have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/20/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.