Routine inspection (multi-day)·June 12, 2025

Licensing Program Analyst (LPA) Shannan Hansen arrived at 8:30AM to complete an unannounced continuation of annual inspection and met with Terence Tumbale, Administrator. There is a total of 230 residents. At approximately 8:45am LPA and Administrator conducted short inspection of facility on the 11th, 10th, & 9th, floors where renovation/replacement of ceilings, lighting, and carpets of common areas are in progress. This renovation/replacement is scheduled on all floors of the building with schedules posted at each elevator floor. At approximately 9:40am LPA conducted file review of 6 residents and 7 staff records as well, reviewed centrally stored medication records to complete this annual inspection. LPA conducted a review of six resident files and learned that all residents have an updated re-appraisals/needs & care plans and updated physician’s assessments (LIC 602A). At approximately 11:00 am on 6/12/2025 LPA conducted a review of seven staff files and learned that all facility staff present and a sample of other individuals who require caregiver background checks have received criminal record clearances or exemptions. Direct care staff annual training requirements are current and LPA was presented with proof of CPR & 1 st Aid certification for staff positions requiring certification, of files reviewed. LPA discussed new dementia regulations with Administrator and Victoria Mozaffari-Yazdi, Assisted Living Nurse Manager. Continue on LIC809-C Continued from LIC809 No citations observed or given during this years inspection. LPA Hansen is requesting facility to update and submit the following documents by 6/30/2024 to CCL: LIC 308 Designation of Facility Responsibility (if changes) LIC 610 Emergency Disaster Plan (if changes) Copy of Administrator Certificate Proof of Liability Insurance