Routine inspection·May 21, 2025

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced annual required visit with the primary focus on infection control measures and using the new CARE Inspection Tool. LPA Bunker met with Executive Director Anita Csukardi to explain the purpose of today's annual inspection. There are currently seventy-seven residents in placement. The facility's annual fees are current. The following 12 Domains will be observed and reviewed: Infection Control, Operational Requirements, Physical Plant & Environmental Safety, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/Incident Reports, Disaster Preparedness, and Residents with Special Health Needs. "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." Ms. Csukardi and LPA Bunker toured the facility. The facility is a two-story building located in a commercial business area. It consists of a Memory Care Unit on the first floor with 15 apartment suites each, with its own bathroom, and an Assisted Living Unit on the second floor with 65 apartment suites, also with private bathrooms. The facility includes the following amenities and areas: a receptionist area, lobby, discovery room, bistro, reading area, parlor, living rooms, dining rooms, kitchens, a coordinator's office, mechanical closet, 4 public restrooms, life skills room, hair salon, Bathtique, activity room, Wellness office, and 3 laundry rooms, Additional features include a parking garage and an indoor/outdoor activity area with a shaded patio furnished with tables and chairs. See continued LIC809-C page 2 Continued LIC809-C page 2 Documents have been posted, as mandated, on the bulletin board in the lobby area. The following Title 22 regulated areas were audited and found to be in compliance: The facility telephones are working. Bedrooms: The apartment suites meet the required standards for furniture, safety, privacy, and comfort. Bathrooms: The bathrooms are clean and operational, and residents are provided with the necessary personal accommodations with non-skid surface mats ensuring safety and privacy. Linen and Supply: The facility has an adequate supply of linen . Kitchen and Food Service: The kitchen is adequately equipped for food preparation and service. A review of the food service revealed an ample supply of perishable and nonperishable food, stored appropriately. Medication Storage and Management: Medications are centrally stored in a locked Med Cart on each floor with up-to-date records, ensuring proper storage and documentation. Common Areas: The Living rooms, dining rooms, and common areas are well-maintained, free of potential hazards, and meet the cleanliness standards necessary for the safety and well-being of residents. Safety Equipment and Measures: The facility is equipped with fully stocked first aid kits with manuals, functional hardwired, smoke and carbon monoxide detectors, and the fire extinguishers are compliant and have been properly charged. The hot water temperature is measured at 113.3 degrees and is maintained within the standard range of 105-120 degrees Fahrenheit. Emergency Preparedness: All exit doors are in compliance, the resident's bedroom windows are equipped with sliding window locks without thumbscrews, and the facility conducted a fire drill on May 08, 2025. Environmental Safety: The yard is free from debris and hazards, trash cans are covered, and no firearms or bodies of water are present on the premises. Hazardous items are kept inaccessible to residents. Staff Training: Staff members have received training on reporting dependent adult and elder abuse. Administrative Compliance: The Administrator Certificate is current and expires July 29, 2026, The HIV/TB requirements have also been verified. See continued LIC809-C page 3 Continued LIC9099-C page 3 A copy of the Facility Evaluation Report LIC809, and LIC809-Cs, was provided to Executive Director Anita Csukardi. There were no deficiencies cited. An exit interview was conducted.