Routine inspection·May 14, 2024

On 05/14/2024 at 9:00 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPA disclosed purpose of the visit to Staff Marie Regacho and met with Administrator Nenita Williams The LPA inspected the interior and exterior of the facility, which included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the dining room was measured at 71.4 degrees Fahrenheit at 10:37 AM. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, and Rights to Resident and Family Councils. The carbon monoxide and smoke detector were tested and found to be fully operational. The fire extinguisher was fully charged and replaced on 3/22/2024. An administrator is on site the minimum of 20 hours a week to oversee the proper business operations. The LPA interviewed 2 staff members and 2 residents. The LPA reviewed records of 5 residents and 5 staff members. During the inspection, 4 B-Type citations were issued (refer to LIC809-D for details). The annual inspection has not been completed. LPA will return unannounced to complete it on a future date. Updated copy of the following document to be submitted to CCL on or before 05/28/2024 : Evidence of Current Liability Insurance Exit interview conducted and a copy of this report provided.