Routine inspection·July 7, 2023

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Dharmi Patel. There are residents with diagnosis of Dementia and Hospice Services. LPA/Licensee initiated a tour of the facility around 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Hot water temperature in bathrooms used by residents measured at 114.6, 114.8 and 115.2 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Two fire extinguisher was last serviced March 2023. One carbon monoxide detector in the hallway was tested and properly working. Last disaster drill conducted on 5/3/23. Working auditory alarms are placed on all exits. Disinfectants and cleaning solutions were stored inaccessible to residents. Required postings were observed. Administrator Certificate for Dharmi Patel, 6033357740, expired on 1/8/2025. Medications were reviewed, centrally stored and locked. LPA initiated file review at 10:00 am. LPA reviewed five residents files and five staff files. All residents files have a current medical assessment and care plans updated within the last 12 months. Staff records have current First Aid/CPR certificates and additional 20 hours of required training. Licensee agreed to submit updates of the following documents by 7/21/23: Administrative Organization (LIC309), Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Copy of property taxes, Copy of Liability Insurance, LIC 610 Emergency Disaster Plan (If changes) and Infection Control Plan (If changes). No deficiencies cited during today's inspection. Exit interview was conducted with Licensee and a copy of this report was provided.