Facility Evaluation Report

Licensing Program Analysts, (LPAs) Cuadra and Frank arrived unannounced to conduct an Annual Required Inspection and met with Maritza Pray, Back up Administrator and Aida Reznik, Licensee arrived later. Upon LPA's arrival a cart containing cleaning supplies and other items that could pose a risk were observed unattended on the hallway. LPAs inquired with staff and were told that staff was cleaning that part of the facility. However, it took staff ten minutes to come back to take the cart away.

LPA/Licensee initiated a tour of the facility at 9:30 am and made the following observations: Facility was a comfortable temperature, well lit and passageways were free from obstructions. Resident rooms were furnished per regulation. There was a portable heater in 1 out of 5 rooms inspected. Per Licensee, the room is shared by two residents who have different preferences regarding the temperature of the room (technical violation issued). Water temperature in bathrooms used by residents measured at 111.2, 114.8 and 114.9 degrees F which are all within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. However, bathroom's garbage cans do not have well-fitted covers to prevent the spread of any communicable disease (technical violation issued). Facility has at least two days of perishable and one week of non-perishable foods. LPA/Licensee observed that kitchen outside door did not have a screen door to prevent insects and have a conversation with Licensee regarding door screen needed to be installed in the kitchen outside door (technical violation issued). Medications were centrally stored and locked in the medication room. Activity Calendars and Weekly Menus posted. Required postings observed. Annual fees are current. Fire extinguishers were last inspected December 21, 2023. Facility has a centralized smoke alarm and sprinkler system that is maintained by a vendor. The most recent inspection was conducted December 11, 2024. Carbon monoxide detector was tested and operational. Exit doors have auditory alerts that were functional at time of visit. Each resident has a pendant to alert staff if the resident needs assistance. Last Disaster Drill was conducted on December 5, 2024. Continues on LIC809C...