Routine inspection (multi-day)·May 8, 2024

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the continuation of the One-year annual Inspection. LPA Correia was greeted by the facility Concierge Diane How, introduced herself, and met with Executive Director (ED) Diana Santana. LPA, accompanied by ED Santana, conducted a facility tour, and inspected resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Required postings were observed. Resident bedrooms contained the required furnishings, a private bathroom, showers were equipped with non-skid flooring and grab bars. Doors, windows and screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. The facility was equipped with a back-up generator, a supply of emergency food, first-aid kit, and evacu-chairs at staircases. Medications were housed in a locked med-cart with-in a locked office. Cleaning supplies and other toxins were inaccessible to residents in care. There were no bodies of water on the facility property. The facility had ample space for activities as well as a theater. Per ED Santana, there are no firearms or other weapons on the facility premises. The facility had two (2) large communal dining areas, the facility has a commercial kitchen with a 7-day supply of non-perishable and 2 days of perishable food. The temperature of the walk-in refrigerator and freezer were with-in compliance per Title 22 regulation. The facility’s ambient internal temperature was compliant, at 71 F. The facility's hot water temperature for faucets used by residents measured at 105.1 and 111.2. LPA Correia left the facility at 1:00 p.m.to take a lunch and draft this report and returned at 2:15.p.m to deliver the report and obtain signatures. Based on today’s inspection, there are no deficiencies being cited. An exit interview was conducted and a copy of this report, and Licensee Rights - LIC 9058 (rev. 01/16) were be provided to ED Santana, whose signature on this form acknowledges receipt of these documents.