Routine inspection·June 20, 2024

On June 20, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:30 AM, to conduct the unnanounced Annual 1-year required Inspection. LPA Calandra was greeted by Martha Nkhoma, Executive Director of Resident Health and explained the purpose of the visit. Mary Linde, Chief Executive Officer joined the visit later. LPA Calandra toured the physical plant. This is a 3 story building with 84 bedrooms and bathrooms, front and backyards, courtyard, kitchen, and activities room. All bedrooms had the required furniture and were sufficiently lit. Fire Extinguishers were last checked on November 11, 2023 and were observed to be fully charged. Fire alarms and Carbon Monoxide detectors were observed to be in working condition. No accessible bodies of water were observed in hallways or yards. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. Hot water temperature was measured between the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. LPA Calandra reviewed 6 resident records. All were observed to be complete. The Annual will be completed at a later date. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mary Linde, Chief Executive Officer and Martha Nkhoma, Executive Director of Resident Health.