Routine inspection (multi-day)·September 19, 2024

On 09/19/23 Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced subsequent annual required visit using the CARE Inspection Tool. This visit is a continuation of the last visit LPA made on 09/09/24. LPA met with Administrator Mendy Ginsberg, and explained the purpose of today’s visit. The facility is licensed to operate for (166) non-ambulatory elderly adults of ages 60 and above. The facility is approved for (14) hospice residents. The facility is a six-story structure located in a commercial neighborhood. It consists of (21) resident bedrooms in Memory Care and (71) resident bedrooms in Assisted Living, with a bathroom in each unit. There is an activity room, a dining area, a private dining room, a kitchen, a rooftop patio, a lobby, (8) public restrooms, a gym, and a subterranean parking lot. LPA and Business Office Manager, Venita Harris toured the physical plant on 09/09/24 but due to time constraints were unable to fully inspect the entire facility. On 09/19/24, LPA and Mendy Ginsberg conducted another full inspection of the entire physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. LPA inspected the following rooms: #201, #211, #307, #303, #423, #400, #418, #516 and #514. Bathrooms were operational with water temperature measuring between 105 - 120 degrees F. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Continued LIC 809-C Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. A review of the Medication Administration Records (MAR) was observed to be maintained in order and accurate. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA reviewed 7 resident files, and 7 staff files. The facility is current on Community Care Licensing (CCL) license annual dues. An exit interview conducted and a copy of report and appeal rights was provided to Mendy Ginsberg.