Routine inspection·June 19, 2023

LPA Grace Donato made an unannounced annual visit to the facility. LPA met with caregiver Evangeline Cadano and Administrator Reyna Epstein followed shortly after. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were at the dining room having breakfast. While touring the facility it was observed that the room temperature was at 72 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Four resident records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic 20hr requirement. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are in compliance with the required waiver requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. LPA tried to interview 3 residents and 2 staff members. All residents were resting at the time the interview started. All staff are very competent with regards to the care of the residents. LPA requested licensee to submit the following and was received in the facility at 6/19/2023: LIC 308 Designation of Facility Responsibility LIC 500 Personnel Report Administrator Certificate To be emailed to LPA or faxed by 6/23/2023: Control of Property Liability Insurance No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided.