Facility Evaluation Report

Licensing Program Analysts (LPAs) Mayra Cota, Elizabeth Irra and Luis De Leon conducted an annual inspection visit. LPAs met with Lindsay Mullen, Assistant Director and discussed the purpose of today’s visit. Joyce Frempong, Director of Assisted Living arrived thereafter.

This is a Continuing Care Retirement Community (CCRC) which consists of:

· Assisted Living (Oak Tree Lodge) - capacity of 70

· Memory Care (Taylor Villa) - capacity of 10

· Assisted Living (Harrison Villa) - capacity of 10

· Independent Living - currently housing 345

The Oak Tree Lodge has a capacity of 70 Residents (private rooms) and is currently housing 62 Residents. Taylor Villa has a capacity of (10) Residents (private rooms) and it currently houses (10) Residents. Harrison Villa has a capacity of (10) Residents (private rooms) and currently houses (10) Residents. Total census for this facility is 427.

LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Facility has an Infection Control Plan in place.

Operational Requirements: Facility is adhering to the operational requirements.

Staffing : Facility is adhering to staffing requirements.

Personnel Records-Training : Staff files are maintained at the facility. LPAs reviewed staff files for Facility Director (S-1) through Staff #10 (S1-S10). Staff have current First Aid/CPR certification. Staff have their Health Screening and Tuberculosis Screening on file. Staff are also trained on Abuse Reporting and Resident Rights. **Refer to LIC 809C for the continuation of this report***