Routine inspection·November 28, 2023

Licensing Program Analyst Bertozzi arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Cinthya Gamino. LPA initiated a tour of the facility around 9:50am which included the main Assisted Living building that contains the main kitchen, dining room as well as two separate buildings that contain Memory Care Units 1 and 2 and observed the following: Facility buildings were a comfortable temperature and exits were free from obstruction. LPA went into a sample of resident apartments and found them to be furnished per regulation. Water temperature in apartments tested measured at 89, 111, 115 and 119 degrees F which are not all within the range of 105 to 120 degrees F allowed per regulation. Cleaning supplies and other toxins are locked in various storage rooms and housekeeping carts to ensure resident safety. 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. Medications are centrally stored and locked in Medication Rooms and Medication Carts in Assisted Living and both Memory Care Units. Facility has required posters in main areas of the facility. Fire extinguishers were last serviced April 2023. Facility has a vendor who comes in routinely to test the fire system which includes carbon monoxide detectors and the most recent service was conducted November 2023. Facility has a call bell system and each resident room and public restroom has a call bell. Memory care has functional delayed egresses. Six staff files and seven resident files were reviewed. Staff have required First Aid and CPR certificates. Training Records for staff and Medication Records for residents were reviewed. Administrator Certificate for Administrator, Cinthya Gamino, 6062514740, expires 3/3/2024. . Continued on LIC809C Continued from LIC809 Construction areas at the facility have been made inaccessible to ensure resident safety. A building that is under construction in the back of the facility has a fence around it and the former skilled nursing area of the facility that is being remodeled has locking doors to restrict access. Administrator to submit updates of the following documents by 12/28/2023: LIC 308 Designation of Facility Responsibility (if applicable) LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (review and update if changes) Infection Control Plan (if changes) Liability Insurance No deficiencies cited during this inspection.