Routine inspection·November 2, 2023

09020; Licensing Program Analysts (LPAs) Amy Goldenberg and Bianca Wolcott conducted an unannounced visit to the facility for the purpose of a required annual. LPAs rang the bell and were granted entry by LVN Ravinder Ahuja. LPAs discussed the purpose of the visit. LPAs were later met by Licensee Ghislaine Ramasar. LPAs toured the facility inside and out. The facility has no bodies of water or firearms. The facility has charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. All indoor and outdoor passageways were kept free of obstruction. Cleaning supplies, medications, and sharps were locked and kept inaccessible to the clients. All client bedrooms had sufficient lighting. The facility had a supply of additional linen and extra hygiene items for the clients. In terms of the food supply, the facility had a sufficient amount of nonperishable and perishable food items. LPA measured the hot water temperatures in three resident bathrooms ranging 105-112 degrees F. LPAs reviewed staff and client files. Client files had appropriate documentation including an admission's agreement. Staff files had appropriate documentation including current first aid/CPR certification and a health screening report. LPAs learned that E1's criminal record clearance has not been associated tho this facility number. LPAs reviewed medications. Medications appeared to be dispensed appropriately according to the physician's orders. Centrally stored medication logs are maintained. This reports was reviewed with and a copy was provided to the facility representative. Refer to LIC809D for deficiencies cited. Appeal rights were discussed and provided to Ghislaine Ramasar.