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25 | At approximately 10:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Kelly Yee, Administrator. Facility is a Continuing Care Retirement Community (CCRC) with a combined total of 72 residents currently residing in the independent living, assisted living, and memory care units. The Community is approved for a total capacity of 743 residents, of which 223 residents may be non-ambulatory. The Community has a Hospice waiver for 6 residents, and there is an approved delayed egress system in place in the memory care unit.
At approximately 10:30 AM, LPA requested staff and resident rosters. LPA experienced technical difficulties which made staff roster and Guardian verification take several hours to complete. LPA reported the issues to CCL Department managers and RM. Facility's staff are all background screened, cleared, and associated to the facility as required per regulation.
LPA will return at a later date to complete the annual inspection.
No deficiencies cited during today's visit.
Exit interview conducted with Administrator whose signature on form confirms receipt.
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