Routine inspection·May 1, 2024

On 5/1/2024 at 12:30 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Executive Director (ED) Monique Bindra. The LPA inspected the physical plant with the ED which included the kitchen, dining room, restrooms, community living spaces, resident rooms, storage, and the exterior of the facility. In the kitchen, more than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. examined the emergency food and water supplies. Fire extinguishers were last serviced on 1/3/2024 and the most recent inspection of the fire suppression systems were completed on 1/3/2024 and 1/23/2024 and the fire alarm on 2/22/2024. The LPA verified the completion of required staff training and the completion of quarterly emergency/disaster training for staff during every shift. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council, and Rights to Family Council. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed 5 resident and 5 staff files and interviewed 5 staff and 5 residents. No citations issued during the inspection. Exit interview conducted and a copy of this report provided.