Routine inspection (multi-day)·July 5, 2024

Licensing Program Analyst, (LPA) Raymond Comer, made an unannounced site visit to this facility as a continuation of the Required 1 Year Annual Inspection conducted on 07/01/2024. LPA met with Director, Nathaniel Akyempon, and the purpose of visit was disclosed. The following remaining inspection domains were observed, reviewed and inspected : Fire Safety: Fire Detection/Protection system is present in the facility. LPA observed multiple smoke and carbon monoxide alarms installed, hardwired, and interconnected. Fire system back up and tests are completed and documented on a monthly basis. Fire Alarm System was tested and working properly. Fire drill last conducted 6/12/2024. Fire extinguishers were observed on all floors of the Facility. All extinguishers were last serviced on 2/08/2024. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. LPA observed evacuation chairs in all stairwells of the facility. Kitchen: At 1:30 PM , LPA observed kitchen to be clean, with an adequate supply of perishable and non-perishable foods located in the refrigerator, freezer, and pantry. LPA observed a variety of fresh fruits, vegetables, meats, dry cereals, and desserts. Foods are properly labeled and stored. Knives and sharps are stored in a designated area of the kitchen. Kitchen is secured and inaccessible to residents. Medications : Medication Room is located on the third floor. Medication room is secured and inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. First Aid kits are complete. [Continued on LIC 809C] Laundry: At 2:00 pm. LPA observed laundry rooms located on each floor. Residents have access to do their own laundry. Laundry area is clean and clear from obstruction. Cleaning supplies, and other toxins, are securely stored and inaccessible to residents. Commons: LPA inspected activity rooms, movie theater, salon, wellness centers, gym, library, dining rooms and reception areas. Common areas were observed to be clean with adequate furnishings for resident use. Furnishings are in good condition. No obstructions, nor tripping hazards observed. Bedrooms: LPA observed resident bedrooms and bathrooms on all four (4) floors for safety, privacy, and comfort. Bedrooms were inspected and observed to maintain required furnishings and sufficient lighting, bed linens, and blankets. All bedrooms were observed to be clean and clear of obstructions. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 118.0°F. Within the required range. Outdoor : Courtyard area observed to have a shaded patio, with tables with sufficient seating for the residents. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to facility Staff Director, Nathaniel Akyempon.