Routine inspection (multi-day)·January 4, 2024

On 01/04/2023 at 1pm, Licensing Program Analyst (LPA) conducted an unannounced case management annual continuation visit to complete the annual that was began on 12/06/2023. LPA met with administrator Vivian Fragiacomo and explained the purpose of today's visit. During todays visit LPA conducted record reviews for 2 residents and 3 staff. Present in the facility is 6 residents and 4 staff. Two of which are agency staff. LPA reviewed the records indicated and all files reviewed are current. Administrator certificate is pending renewal and has not received the updated certificate as of this time. Administrator certificate is expired but renewal has been submitted but has not received yet. Facility does not handle resident monies. The following updated forms are being requested to be received by 01/11/2024 : • LIC610D Emergency Disaster Plan • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Updated administrator certificate • LIC9020 Client Roster • Certificate of Liability Insurance There are no citations issued on this day. Report is reviewed with Vivian.