Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia visited the facility to conduct an annual required licensing inspection. LPA Correia was greeted by Concierge Diane Hom , and subsequently met Resident Service Director (RSD) Irma Sterling, identified herself and was granted entry into the facility, and explained the purpose of the visit.

The facility is Licensed to serve 180 residents ages 60 and above; 90 of whom may be non-ambulatory, approved for 20 bedridden residents; delayed egress approved for the first two floor. The facility also has a Hospice waiver for 20 residents. The facility's current census is 134, consisting of 98 residents who reside in Assisted Living and 36 residents who reside in the Memory Care facility unit.

During today's visit, LPA Correia, conducted resident records reviews. review of resident records was complete and current; including the following forms Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement. LPA also conducted a review of facility personnel facility records. were reviewed for First Aid/CPR certification, Criminal Record Clearance, TB clearance, and Health Screening Report, and proof of attendance to required training.

Due to time restraints, Resident Service Director Irma Sterling was notified the remainder of the annual inspection will be completed at a later date.

No deficiencies were cited during today’s initial Annual Inspection. An exit interview was conducted with ED Santana and a copy of this report, along with the Licensee Rights (LIC 9058 FAS 01/16) were provided via email. signature below confirms receipt of the reports.