Routine inspection·July 2, 2025

On 07/02/25 around 10:25 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. Maria Riformo, Administrator (Licensee) arrived about 10 minutes later who currently holds a standard certificate (#7001621740 ) exp. 04/06/25. The facility’s fire clearance was approved for six (6), four (4) may be non-ambulatory residents. Upon entry, LPA observed one (1) resident in the dining area having a telephone conversation. LPA and Licensee toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. The hot water temperature in the shared residents' bathroom measured at 105.3 degrees Fahrenheit (F) and the facility's temperature was 68 degrees F. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. continued on LIC809C... ...continued from LIC809. Fire extinguisher was observed full and tagged with receipt and expires 07/05/24. Emergency Disaster Plan is updated. Last safety drill conducted 03/08/25 and is rotational between AM and PM schedules quarterly. LPA reviewed three (3) staff files with criminal record clearances, and three (3) resident files; all files were incomplete. -At 11:30 AM: Facility Administrator records have not been updated with CCLD. -At 11:35 AM: Residents files are not updated with a current Appraisal Needs and Services Plan. -At 11:35 AM: Personnel files are not updated with Heath Screening, TB testing and Training records. -At 12:20 PM: PUB 475 regulatory size not posted in the facility. The following forms are to be updated and submitted to CCLD by 07/23/25: -Resident Roster (Reviewed) -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610 Emergency Disaster Plan (Reviewed) -Administrator Certificate(s) (Reviewed) -Infection Control Plan (Reviewed) -Liability Insurance (Reviewed) -Written plan for repairing or removing the patio lattice. Exit interview conducted and a copy of this report provided to Maria Riformo, Licensee.