Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct a required Annual inspection and was greeted by concierge. LPA met with Business Office Director (BOD) Ravi Banwait. Administrator Annemarie Domizio arrived later. Administrator certificate # 7015132740 expires 12/19/28. Facility currently has 29 residents in care, five (5) of which are currently on hospice. Facility is full memory care with apartments on the 2 nd and 3 rd floors containing a total of 36 apartments.

The facility has a fire clearance approved for 55 Nonambulatory residents with magnetic locked egress doors and gates on all patios and levels, last effective date of 8/20/2019. During 7/2025 annual inspection LPA observed some resident apartment windows screwed/locked shut and some not functioning, against fire clearance safety regulations. After inspection Fire Department implemented a conditional fire clearance until 9/18/2026 at which time all windows/screens are to be fixed/replaced as per fire inspectors’ guidelines. During today’s inspection none have yet to be replaced.

At approximately 9:30am LPA and BOD toured the building and grounds & was accompanied by Administrator shortly after. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food items located in main kitchen were not stored in a safe manner and open items were not covered or closed. Items found uncovered or unsealed or both include: dried green peas & Messa, chicken, hamburger patties out on tray in kitchen, box of frozen peas, mini pies, slices of carrot cake, ice cream containers ( deficiency cited, see pics & 809D ).