Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 10:29 am to conducted a 1 year annual visit to the facility above. LPA met Administrator Matteo Digrigoli and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit:

Infection Control: The facility has submitted a current Infection Control Plan. The facility has a sign in and out area for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. Trash can and wastebaskets have tight fitting lids. Infection control and PPE training for staff is completed.

Operational Requirements: The facility has a current plan of operation. The facility is approved for a capacity of 118 capacity with 54 Ambulatory, 60 Non-Ambulatory, which 4 may be bedridden in the memory care building rooms 302, 306, and 307. Facility has a current Hospice wavier granted for 15. The Facility is operating in compliance with the granted fire clearance.

Physical Plant & Environment Safety: The facility has 14 buildings on the licensed property. The facility has 90 apartments with bathrooms and 7 public restrooms currently occupying 82 residents and employs 41 staff. The facilities common areas were clean, safe and sanitary. Memory Care Building N is located across the street and all exiting doors and gates have alarms. LPA was authorized to enter and inspect facility. The lighting and lamps are sufficient for the use of the facility and for residents comfort. The facilities main kitchen is clean, safe and sanitary. Apartment rooms were clean and comfortable for residents use, showers have non-skid textured floors, and grab bars were secured. Toilet, hand washing and bathing facilities were operational. The pathways were clear of any obstructions. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care and kept locked. The facility has sufficient space inside and outside for activities and visiting. The facility is fenced with 3 open areas and 1 gate. The outside courtyard has plenty of shade for resident use. The facility has a pool fully fenced with 2 locked gates for entry. The facility has telephone and internet service for all residents in care. LPA toured 10 resident rooms. Toured rooms 8, 17, 33, 47, 88, 60, 302, 301, 307, and 312, all rooms met regulation requirements. Continued 809-C