Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:30 a.m., the LPA met with staff and explained the reason for the visit. At 9:38 a.m., the Administrator Yehuda Cohen met with the LPA.

RECORD REVIEW: Between 9:47 a.m. and 12:00 p.m., the LPA conducted a file review for five (5) residents and five (5) staff. Resident records were reviewed for, but not limited to: care plans, medical assessments, admissions agreement, consent forms. Resident records were in order. Five (5) personnel records were reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and training documentation. Personnel files were in order. The LPA spoke with the Administrator regarding required annual training and provided additional information. Facility fire and disaster drill was last conducted on 01/24/2026. The LPA observed documentation for the Infection Control Plan and Emergency and Disaster Plan. Administrator certificate is current and valid until 05/26/2026. During today’s visit, the LPA obtained a copy of the facility’s LIC 500, emergency disaster plan, resident roster, surety bond and liability insurance.

At 12:50 p.m., the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards.

The facility's smoke alarms are hard wired, and the facility is equipped with sprinkler system. The fire sprinkler inspection (5-Year) was completed on 02/16/2022. Annual fire alarm test was conducted on 04/21/2025 and passed. During the time of the visit, the LPA and Administrator tested carbon monoxide alarms, which functioned properly. Continued on LIC 809-C.