Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a post-licensing and Non-Compliance inspection. LPA met with Lead Staff, Diandra Chadwick. Licensee, Alex Varshavsky was not able to come to the facility, but was available by phone and gave authorization for lead staff to sign the report. The facility has residents receiving hospice services and residents with a diagnose of Dementia. LPA observed residents were participating in an exercise activity.

Upon arrival, LPA confirmed with Lead staff that they are following current Covid19 and masks guidance. Facility is a one story building and have an approved fire clearance dated November 16, 2022 that allows for 28 non-ambulatory residents and 6 bedridden resident. Fire Extinguishers were last serviced January 2023. Facility has a centralized fire alarm system that is maintained by a vendor and inspected by the local fire department. Facility's last maintenance was conducted 2/7/23. Facility has a locked perimeter. Smoke detectors, sprinklers, carbon monoxide detectors were present throughout the facility. LPA/lead staff pulled alert codes and staff responded in a timely manner. Fire panel was last inspected 07/2022. Last disaster drill was conducted on April 10, 2023. Exits and walkways were free from obstructions. Exit alarms were working properly. LPA observed required postings. Facility had sufficient perishable and non-perishable food. Facility front porch has an area for visiting and activities. Facility has first aid kit which was found to be appropriate during the Post-Licensing inspection. Emergency food and water supplies are stored in the kitchen pantry. All resident’s bedrooms have lighting & appropriate furnishings, and resident’s beds were outfitted with mattress pads as required by Title 22 Regulations. Continues on LIC809C...