Routine inspection·January 30, 2024

On 1/30/2024, at about 10:05 AM, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Travonna Washington, Co-Administrator. Gaurav Rathi, Administrator, later joined LPA for the inspection. According to the facility’s license, the age range is 60 and over; approved for capacity of six (6) non-ambulatory residents; of which one (1) may be bedridden; approved for hospice waiver for three (3) residents. On the day of the inspection four of six residents were ambulatory. During the inspection, LPA toured the interior and exterior of the facility and observed each resident’s room. The facility was organized, kempt and in good repair. Pathways inside the property were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least two days of perishable food, and at least seven days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per Administrator, Rathi, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. Hot water temperatures measured in the resident restroom and kitchen recorded at 111.1 and 112.7, degrees Fahrenheit which are both within Title 22 Regulations. LPA interviewed residents and reviewed staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained the required documents. LPA reviewed the facility's Infection Control Plan and did not note any concerns. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator, Rathi to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.