Non-compliance follow-up·October 27, 2023

On 10/27/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required quarterly case management visit in accordance with the Stipulation and Waiver; And Order, effective date 02/07/2022 to 02/07/2025 . LPA met with Administrator, Virginia Bonite, and explained the purpose of the visit. LPA and Administrator conducted a tour of the facility to ensure the health and safety of residents in care. LPA observed five residents to be present in their rooms. LPA and Administrator discuss facility's previously submitted request for probational term reduction. LPA informed Licensee the request is still under review by the Department. Administrator was informed LPA will update Licensing Program Manager Anthony Perez of today's visit. LPA observed the stipulation to be posted in a conspicuous space. LPA conducted a file review of facility's Stipulation binder. LPA observed monthly training documentation for August 2023, September 2023 and October 2023. LPA observed staff certificate of completion for the following training topics: - August 2023: Wandering Within and Outside of the Facility - September 2023: Memory Behavior - October 2023: Special Needs of Persons With Alzheimer's Disease and Dementia. At this time, LPA found facility to be in compliance with the Stipulations and Waiver; And Order. No deficiencies observed. Exit interview conducted and a copy of report was provided to Administrator.