Routine inspection·September 30, 2025

On 09/30/25, 8:30 am , Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct an unannounced annual inspection of the Facility. LPA met with Facility Administrator, Yossi "Joseph" Wieder, and reason for the visit was disclosed. Facility is licensed as a single-story building. Fire clearance approved for thirty-one (31) non-ambulatory residents. Bedridden cleared for thirty-one residents. Hospice waiver approved for thirty-one (31). Currently, there are two (2) residents receiving hospice care services; none bedridden. At 10:15 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Facility provides dementia care; LPA observed delayed egress system working properly. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 74.0°F; within the required range. Facility maintains an approved Mitigation and Infection Control Plan. Required postings are displayed and observed to be current. Disaster drills last conducted on September,2025 Commons: Activity room and dining room observed to be clean. Furnishings observed to be in good condition. No obstructions, nor tripping hazards observed. [LIC 809C]-continued Fire Detection/Protection: System is present in the facility. Multiple dual smoke/carbon monoxide alarms are installed, hardwired, and interconnected throughout the Facility. Fire alarm system was tested and worked properly. Two (2) fire extinguishers are located at opposite ends of the facility; extinguishers last serviced on December 24, 2024. Evacuation routes are clearly labelled and posted. Kitchen: At 11:15 am, LPA observed kitchen as clean, commercial refrigerators and freezers observed to maintain required temperatures, appliances and fixtures functional. LPA observed a sufficient amount of perishable and non-perishable food which was properly stored and labeled. Residents do not have access to the kitchen; knives and sharps are inaccessible to residents. Facility menu appears to meet the daily dietary needs of the residents. No pesticides, nor poisons, were observed near food areas. Medications: Medication room is located next to the facility entrance; LPA observed room as locked and inaccessible to residents. Medications are properly labeled and stored in secured medication carts. Medication documentation and distribution records appear to be complete. First aid kits were observed on carts stored in the medication room. Laundry: LPA observed the laundry room, located in outdoor storage compartment. Laundry room, detergents, cleaning supplies, and other toxins, are secured and inaccessible to residents. Bedrooms: At 11:50 am, LPA observed resident bedrooms and bathrooms for safety, privacy, and comfort. Random bedrooms (#109, #110, #113, #118) were inspected and observed to maintain required furnishings, sufficient lighting, bed linens, and blankets. All bedrooms were observed to be clean and clear of obstruction. 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 114.0°F. Within the required range. Outdoor (rear courtyard) area observed to have a shaded patio, with table and sufficient seating for 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. [LIC 809C]-continued Resident records : Records are stored in locked cabinets within the Administrator's office and inaccessible to residents. A total of four (4) Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, admission agreements, and all relevant documentation. Resident records appeared to be complete and current. Staff records: Records are stored in locked cabinets within the Administrator's office and inaccessible to residents. A total of six (6) Staff files were reviewed. Criminal record clearances, Health Screening, CPR/First Aid, and all relevant documentation were review by LPA. Staff records appear complete and current . 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 provided to the Administrator.