Pre-licensing visit·July 29, 2021

Licensing Program Analyst (LPA) Tony Vasallo, Nune Margaryan, and Nina Galarza conducted a prelicensing visit. LPA’s met with applicant, Nikolas Kavayiotidis and administrator, Vicky Torres. The applicant is a current licensee and therefore a component III is not required. The building is a new construction and therefore has never been licensed. The fire clearance has been approved for 60 non-ambulatory residents. The applicant has requested to care for dementia residents. A hospice waiver has been requested for 20 hospice residents. The physical plant was toured with the applicant and administrator. The following was observed. The physical plant consists of a lobby, conference rooms, lounge, activity room, dining room, salon, kitchen, kitchenette, laundry room, staff lounge, medication room/nurse’s room, 2 elevators, and outdoor courtyard. The building has 2 floors. The building has delayed egress devices on exit doors to alert when dementia residents exit. Smoke detectors were observed in common areas and in each resident bedroom. There are fire extinguishers throughout the building. There are 2 medication rooms/nurse rooms, 1 located on each floor. There are complete first aid kits in the medication rooms. Windows and doors are in good condition and there were no obstructions near doors. Windows do not have security bars. There are 43 bedrooms and 31 bathrooms. There is a combination of private rooms and shared rooms. 3 of the resident rooms were modeled to show shared and private furniture layout. All the bedrooms have sufficient closet space and lighting. The bathrooms in resident rooms have the required grab bars and non-skid materials in the showers. The hot water was tested in multiple bathrooms and was between 108.5 – 114.1. The building also has 6 public bathrooms which also have grab bars for residents. The call light system was tested in the bedrooms and bathrooms and was functioning at the time of the visit. Room #223 did not have running water due to repairs in another area of the building. Applicant indicated residents will not reside there until the water has been repaired. Continued on 809C. The kitchen was inspected. The walk-in refrigerator was not operating at the time of the visit. Facility has other refrigerators and large freezers to store perishable food. There was sufficient non-perishable food in the pantry. The kitchen has sufficient plates and silverware. Cleaning supplies and chemicals will be stored in the janitor’s closet. There is a dining room on the 1 st and 2 nd floor with adequate space for multiple residents and sufficient sitting area. The courtyard has a small water fountain on top of a planter which does not pose a danger to residents. There is adequate patio furniture and lighting. There is also an enclosed walking path on the side of the building. This side of the building also has delayed egress devices since it leads to the street. There are no large bodies of water that pose a danger to residents. Based on LPA’s observations, the facility meets Title 22 Regulations. Exit interview held. A copy of the report was provided to applicant.