Routine inspection (multi-day)·August 28, 2024

On August 28, 2024 at approximately 08:30 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Lavender Hills Assisted Living III for the purpose of conducting a Case Management-Annual Continuation. LPA was greeted at the door by Assistant Administrator, Naitasha Peerman, and was granted access into the facility. Administrator arrived one hour later. LPA and Assistant Administrator toured the facility and observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Water temperature in residents bathrooms measured at 109 degrees, within acceptable range of 105 to 120 degrees F. LPA observed sufficient perishable and non-perishable foods located in the kitchen. There are special provisions made for individuals with special dietary needs. Food menu was presently available for viewing during the inspection. Medications were centrally stored and locked. Cleaning products and other toxins are located in the laundry room that was locked and inaccessible to residents in care. There was a supply of linens, cleaners, hygiene products and paper products available for residents. All bathrooms designated for residents in the common areas at the facility were supplied with individual paper towels and hand soap. Bathrooms in resident’s rooms have a towel and soap. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. A tour of an occupied residents bedroom and a vacant bedroom were conducted, and bedrooms inspected have lighting and appropriate furnishing. First Aid kit was inspected and found to be appropriate during the inspection. LPA reviewed the Infection Control Plan and the Emergency Disaster Plan with the Assistant Administrator. Emergency Disaster Drill was last conducted on July 2024. No deficiencies were observed or cited during today's Case Management-Annual Continuation. Exit interview was conducted and a copy of this report was signed and given to Administrative Staff.