Pre-licensing visit·May 24, 2023

On 5/24/2023, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an announced pre-licensing inspection at the facility. LPA Nwogene met with Applicant, Chirag Kapadia and toured the inside and out of the facility. There are currently five (5) residents in care due to a change of ownership. Application: The application is for a Residential Care Facility for the Elderly. The fire clearance has been granted for six (6) non-ambulatory residents. Buildings and Grounds: The home is composed with living room, kitchen and dining room combination, five (5) clients bedrooms, 1 resident restroom, a staff room, staff bathroom, laundry room, backyard, and a garage. The interior/exterior walkways of the home were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were tested and operable. There are no pools or other bodies of water located at the home. According to Chirag, there are no weapons stored in the home. Rooms, furniture, beds, mattresses are all in good repair. The bedrooms are furnished with furnitures, dressers, chairs and lighting. Privacy is available. Night lights are maintained throughout the facility. The dining and living room areas/furniture are clutter free and in good condition. Bathroom was observed to have non-slip mats and grab bar. The hot water was tested and measured at 107 degrees Fahrenheit which is within regulatory limits. Outdoor areas had sufficient room for activities. Central heating and air conditioning system installed with a central panel located in hallway to control entire house. Storage and Supplies: Medications are stored in a locked cabinet in the kitchen, inaccessible to any unauthorized individuals. Secured areas are available for facility files and resident files. The first aid kit was observed to be available and complete. Cleaning supplies are stored away in the laundry room, inaccessible to clients, washing machine and dryer are all in good repair and sufficient for the requested capacity. A Fire extinguisher was available and fully charged. CONTINUE ON LIC809-C CONTINUED FROM LIC809 Activities: Inside and outside, there are areas for residents to use for their leisure. Backyard is in good condition. Facility has a big outdoor umbrella providing shade over the outside table and chairs. Activity supplies are present inside the home, including television, magazines, and games. Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and stove are in working order. Sharps are stored in a locked kitchen cabinet, available only to authorized individuals. Trash cans has tight-fitting lids. Dishwasher will be used to clean and sanitize dishes. All need appliances were present and shown to be in working condition and clean. The fridge was measured at 37 degrees Fahrenheit and Freezer was measures at -2 degrees Fahrenheit. Forms: The following signs were observed to be posted at the home: Emergency Disaster Plan (LIC 610E), Covid-19 poster, Visitors Policy, Personal Rights, rights of resident council, a Facility Sketch (LIC 999), Labor Law Information, and Complaint Information. LPA Nwogene will inform the Centralized Applications Bureau (CAB) that the home is ready for licensure. and Applicant will be notified of the license approval. An exit interview was conducted were this report was discussed with and provided to Chirag Kapadia.