Routine inspection (multi-day)·March 17, 2025

Licensing Program Analyst (LPA) Alberto Lopez made subsequent unannounced visit to complete the annual inspection started on 03/10/2025. LPA met with Director of Assisted Living Daniella Doromal and discussed the purpose of the visit. Today LPA reviewed the following. Staffing : There appears to be sufficient staffing at the facility. The Administrator's (Angela Lee) certificate expires 03/28/2025. Administrator retired unexpectedly and facility is in process of hiring new administrator. Proof of renewal Staff employed are all over the age of 18. Personnel Records-Training : Staff files are maintained at the facility. Staff have current CPR/first aid training and sufficient on-going training. Resident Records-Incident Reports: Resident files are maintained at the facility and have the following documents in their files - Identification & Emergency Information, Original Physician's Report, Pre-admission appraisal/Appraisal Needs & Services Plan. Some residents files need current Physicians reports. Resident Rights-Information: The Complaint poster and Residents personal rights are posted by the main entry. Visitors can visit anytime. Food Service: There are sufficient food supplies of 2-day perishable. Seven-day non-perishable in storage. The food is properly stored in the refrigerator to avoid cross contamination Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. Incidental Medical & Dental: The medications are centrally stored and in their original containers. During the visit today, LPA reviewed 4 residents' medication, and all medication is administered according to doctor’s orders. However, some PRN medications are missing labels. Disaster Preparedness: The facility has an Emergency Disaster Plan but requires updating. Residents with Special Health Needs: The facility accepts and retains residents with special health needs. Two residents with special health needs resides at facility. The staff received training on appropriately caring for residents with special health needs. Exit interview conducted with Director of Assisted Living Daniella Doromal copy of report, 809D and appeal rights provided along with one technical advisory.