Facility Evaluation Report

On 12/20/20/23 at around 10:00 AM Licensing Program Analyst (LPA) Christopher Alemoh conducted an unannounced Required – 1 Year Inspection to Villa Scalabrini Retirement and Special Care Unit and met with Co-Administrator Alicia Avila and Administrator Ardy Afshar . LPA was greeted upon arrival and screened for COVID-19 symptoms. Screening area is located immediately upon entrance.

There are currently 73 residents who reside at this facility. This facility has a hospice waiver for 1 resident. LPA conducted a tour of the facility with the assistance of Ms. Avila between 11:00AM to 12:15PM. This facility has a memory care area within the assisted living unit. LPA inspected the interior and the exterior of the facility including the common living spaces, 10 resident bedrooms, 10 bathrooms, kitchen, dining area, activity room, library, family gathering and medication room and multi-purpose room.

All indoor and outdoor passageways/exits were free of obstruction. There is no body of water in the facility. The facility maintains a comfortable temperature at 74°F. The facility's smoke alarms are hard wired and interconnected and back up and tests are done in house on a regular basis. The facility is equipped with sprinkler system which was last tested on 01/19/23. Facility is also equipped with microphone system throughout the entire facility. This Facility also has a call signal system. LPA tested call button. Call system is triggered in Administrators Office and Medication Room. Fire extinguishers are located all throughout the facility and were last serviced 08/22/2023. Fire Drill was last conducted on 10/26/23.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient supply of perishable and non-perishable food and properly stored at the facility. Knives, cleaning agents, and other potentially hazardous items were locked and inaccessible. Kitchen has three (3) industrial refrigerators, one (1) walk-in freezer, and Two (2) pantries. All kitchen foods are labeled and dated.