Routine inspection·August 11, 2023

On 8/11/23, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Khatera Bahadory and explained the purpose of today’s visit. The facility is licensed to serve (184) of which (178) non-ambulatory and (6) bedridden elderly adults ages 60 and above. The facility is approved for (6) hospice residents. The facility is a two-story structure located in a commercial neighborhood. It consists of the following: Eighty (80) resident bedrooms with a bathroom in each unit, four (4) public bathrooms, a reception area, beauty shop, an activity room, a kitchen, a dining, a laundry room, a medication room, three (3) outside patios, and offices. Facility is currently having construction done on the 1st floor, CCL was informed of construction dates. LPA toured the physical plant with Bahadory. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Call buttons, smoke and carbon monoxide detectors are all operable conditions. Last fire drill conducted on 8/4/23. LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. Several working landline phones are available on-site. A review of ten (10) resident files (4) staff personnel files, Medication Administration Records (MAR) and P&I Ledgers were all maintained in order. A current liability insurance effective 03/01/23 - 03/01/24 was on file . During today’s visit no discrepancies were cited. Exit interview conducted with Administrator Khatera Bahadory, and a copy of this report was provided.