Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Teresa Camara arrived at the facility to conduct a One (1) year Required inspection. LPAs met with Executive Director (ED), Grace Hartnett at 10:05 a.m. and at 10:30 a.m. Mariana Pelayo (Regional Nurse) arrived at the facility and joined the visit. LPAs explained the reason for the visit.

At 11:45 a.m. LPAs, ED and RN conducted a physical plan tour of the facility to ensure there are no health and safety hazards. The building has several floors divided into separate areas of licensed and independent living occupants. The facility is licensed in Building A on the 1st, 2nd and 3rd floor. There were no obstructions and/or tripping hazards throughout the facility. The facility maintains a comfortable temperature at 72 degrees. In Building B, only the 2nd floor is licensed. Fire extinguishers were observed throughout the facility and appeared to be fully charged and last serviced in October 2023. The facility’s fire suppression system was last checked by Johnson Controls North America on 2/22/2024 and passed. The elevators and emergency power generator was last checked on 9/2/2023 by Absolute Fire Protection, Inc. and passed. Smog detector and carbon monoxide detectors were checked in all resident’s room on 12/27/2023 and passed.

Resident Rooms: From 12:12 p.m. until approximately 2:08 p.m., LPAs inspected (10) randomly selected apartments. The resident rooms were properly furnished with, at minimum, a bed, nightstand, chairs, and sufficient lighting for each resident. The rooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. LPAs observed all bathrooms in each resident room were clean, properly supplied and had functional fixtures. LPAs observed all resident bathrooms to have grab bars, and non-slip materials in showers. The hot water was measured in each bathroom between 106.2 – 120 degrees Fahrenheit.