Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Brian Balisi conducted a pre-licensing visit to this property at 09:45AM. LPAs met with Executive Director (ED), Patrice O’Grady, and explained the reason for the visit. This application is for a Change of Ownership Application (CHOW) currently operating with Facility license #197608478 and the current licensed facility has residents in care. The applicant has obtained fire clearance for One hundred and nineteen (119) non-ambulatory which eight (8) bedridden residents. There is a pending hospice care waiver.

The facility is a (five) 5 story building including an underground garage. At approx. 10:30 A.M., a physical plant tour was conducted inside and out. There are fire sprinklers and fire doors throughout the facility.

The kitchen was observed to be inaccessible to residents in care. Knives are kept inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Dining room furniture were observed to be in good condition and appeared to be relatively clean. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Trash cans had tight fitting lids. No flies or other vermin were observed. At 10:35 A.M. hot temperature water measured at 113 degrees Fahrenheit.