Routine inspection·May 2, 2024

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the required One-Year Inspection. LPA Correia was greeted by the front lobby concierge Diane How, introduced herself and met with Memory Care Coordinator Angela St. Mars and explained the purpose of the visit. Shortly later Executive Director (ED) Diana Santana joined the inspection. Resident Service Coordinator (RSC) Naz Balagot also joined the inspection. The facility is licensed to serve 180 residents age 60 and above, 90 of whom may be non-ambulatory, 20 bedridden, and 20 residents who may be on hospice care. Resident records were reviewed for a current Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement, and personnel records were reviewed for First Aid/CPR certification, Criminal Record Clearance, TB clearance, and Health Screening Report, and required training. The facility carbon monoxide and smoke alarms were last inspected on January 20, 2024. The facilities liability insurance policy is current and set to renew on March 1, 2025. The facilities last disaster drill was conducted on March 22, 2024. The facility employs 3 (three) activities specialists and maintains a monthly activity calendar. The facility also employs a dietician that creates monthly menus however the residents are also provided an additional menu with an array of food to choose from if wanted. During today’s visit, LPA Correia conducted a partial interior tour of the facility, resident, staff, and facility records reviews. An overall inspection of the facility began today, however, due to time constraints LPA was unable to complete the visit and will return later time to conduct the remaining portion of this inspection. Based on today’s inspection, there are no deficiencies being cited. An exit interview was conducted and a copy of this report, and Licensee/Appeal Rights - LIC 9058 (rev. 01/16) will be provided to RSC Balagot, whose signature on this form acknowledges receipt of these documents.