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25 | Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection. LPA Rodgers was granted entry into the facility by Executive Director Milena Petrosyan, and Chief Executive Officer Barbara Crowley after identifying herself and stating the purpose of the inspection. Facility is licensed one Hundred Forty Five residents, ages 60 and above, all of whom may be non-ambulatory. Hospice waiver is approved for fifteen residents.
LPA was accompanied by Executive Director Petrosyan, during a tour of the facility, which was conducted inside and out and included a sample of resident units, the dining area, recreation rooms, outside grounds, and food storage areas. There is a fire system in place and the carbon monoxide detectors were operational. The last disaster drill was conducted in January 2024 and conducted quarterly. Exterior and interior passageways were free from obstructions. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises.
Each resident had clean and sufficient bed linens, towels, and washcloths. All residents’ rooms were equipped with the required furnishings and appropriate lighting to ensure the comfort and safety of residents. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars and non-skid strips are present in the showers. Resident’s room temperatures were within a comfortable range. Hot water temperature at taps accessible to clients were all compliant.
Facility has a two-day supply of perishable and a seven-day supply of nonperishable food items. Food supply is replenished frequently by outside vendors. Food was observed to be properly stored and labeled. Food menus and activities schedule were posted.
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