Facility Evaluation Report

At 9:00 am, Licensing Program Analysts (LPAs), Nadia Shahbazian and Angela Panushkina conducted a Case Management visit. LPAs met with the Executive Director, Amanda Monroy, and explained the reason for the visit.

At 9:10am, LPAs requested resident and staff roster. At approximately 9:25am, LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected.

During the 12/17/24 visit, LPA Panushkina was informed that the facility had approximately thirty seven (37) non-ambulatory residents residing on a second floor. During todays visit, LPAs informed that the facility currently has twenty seven (27) non-ambulatory residents residing on the second floor. Also, LPAs were informed that on December 2024 facility hired an Architect who is currently working on a plan to be approved by the Building and Safety Department. LPAs obtained the copy of documents. Additionally, LPAs were informed that the facility is working with the Fire Inspector to make appropriate changes to expedite the new plans for the second floor non-ambulatory approval. Lastly, Administrator informed LPAs that the facility staff continues to conduct routine checks on non-ambulatory residents, on a 2nd floor, every two (2) hours.

No deficiency issued during todays visit.

Exit interview conducted and copy of this report signed and delivered.