Facility Evaluation Report

A tele-visit meeting was held on 4/25/2022. Present in the meeting were Farah Chaudhary, Licensee, Harjot Singh, Business Partner, Cleopatra Grant, Administrator and AZ Chaudhary, Licensee's spouse and owner of propety of Hazel Home for Seniors, Regional Manager, Alycia Berryman, Licensing Program Manager, Maribeth Senty, and Licensing Program Analyst, Sabrina Calzada. The office meeting process was explained during the meeting:

Today's meeting was to address the following issues:

Eviction notice issued 4/8/22- email sent to Licensee on 4/8/22 that notice was approved

Audio and video surveillance being used in the common areas-

Immediately cease using video and audio surveillance at the facility due to personal rights violation

Submit a waiver to the Department requesting approval of video surveillance only

Update Plan of Operations in the facility Admission Agreement explaining use of video surveillance and submit to the Department for approval

Review Regulation 87209- Program Flexibility; 87405- Administrator Qualifications; 87507- Admission Agreement- in Evaluator Manual at DSS website.

Licensee was advised of the responsibility to ensure staff is fully trained and provide training opportunities

Training links available- can access from Evaluator Manual

Update resident paperwork to reflect new license name

Discussed working relationship with DSS- LPA is the first line of contact.

Items discussed were summarized at the conclusion of the virtual meeting and Licensee was informed a copy of this report would be emailed to her following the meeting for signature.

There are no deficiencies cited during this report.