Villa Monticello Assisted Living.

Licensing Program Analyst’s (LPAs) Carmen Lopez and Arian Golbakhsh conducted an unannounced collateral visit to the facility. LPAs Lopez and Golbakhsh identified themselves and were vgranted entry by Dolores Zeiler, Medication Technician. LPA stated the purpose of the visit with Melissa Kramer, Executive Director, and Iezza Zzadoctolero, Resident Care Manager. During the visit, LPA's Lopez and Golbakhsh spoke with staff and resident to aid in an open investigation involving a different licensed care facility. No deficiencies were observed or cited during today's visit. An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Iezza Zzadoctolero, Resident Care Manager, at the conclusion of the visit. The signature below confirms the receipt of the documents.

On 10/28/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Resident Care Manager (RCM), Iezza Doctolero who was informed of the purpose of the visit. LPA toured the facility’s interior and exterior with RCM Doctolero. The facility is made up of four (4) villas, three (3) of which are designated for assisted living/memory care and one (1) currently occupied by staff. The facility is licensed to care for 29 non-ambulatory residents of which seven (7) may be bedridden. The facility also has an approved hospice waiver for 15 residents and LPA was informed seven (7) residents are currently receiving hospice services at the facility. During the tour, RCM Doctolero tested one of the smoke alarms/carbon monoxide detectors in each villa and LPA observed them to be operational. LPA also observed charged fire extinguishers mounted in each villa, which were last serviced on 1/22/2024. LPA toured the kitchen and observed the facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable food items. Knives and sharp instruments were secured in a locked kitchen drawer. Medications were secured in a locked medication cart, only accessible to authorized personnel such as medication technicians. Cleaning solutions and disinfectants are secured in the locked laundry room, inaccessible to the residents in care. Indoor and outdoor passageways are free of obstruction. Outside shaded seating is available for the residents. LPA reviewed random resident and staff files. Resident files reviewed had signed admission agreement and updated physician's reports. Staff files reviewed had a valid first aid/CPR certification. Staff present have a criminal record clearance and are associated with the facility. LPA reviewed the facility's activity calendar noting there are several activities and outings available for resident leisure. Long Term Care Ombudsman's contact information, complaint procedures, residents' rights, and emergency contact information are visibly posted in each villa. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted where a copy of this report was reviewed and provided to RCM Doctolero.

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review. LPA was greeted by Dolores McGonigal, Senior Team Leader and explained the purpose of the visit. The facility has the capacity to serve 29 non-ambulatory elderly residents, ages 60 and above. There is a hospice waiver for 15 residents and the facility has 10 residents receiving hospice care, which is in compliance with the hospice waiver. During today’s visit, a tour of the facility was conducted inside and out. During the inspection, LPA, accompanied by the Senior Team Leader, observed the following: carbon monoxide and smoke alarms were present and operational. Facility records reflect that the last disaster drill was conducted on 7/27/2023. According to the Senior Team Leader, there are no weapons and/or ammunition housed on the facility premises. No pools and/or bodies of water were observed. Exterior and interior passageways were free from obstructions. Lighting was present in the resident units. The indoor temperature measured at 72 degrees Fahrenheit in Building 1 and 73 degrees Fahrenheit in the Main Building during the visit. The facility was stocked with a 2-day supply of perishable food items and a 7-day supply of non-perishable food items. Residents had clean and sufficient bed linens, towels, and washcloths. Residents’ rooms were equipped with the required furnishings. Residents’ bathrooms were observed to be operational. Toilets and showers were observed with grab bars, and resident showers had nonskid mats. Water temperature in a sample of resident bathrooms measured at 115.5 degrees Fahrenheit in Building 1 and 117.6 degrees Fahrenheit in the Main Building, both of which are within the requirement of regulation. There are currently no residents in Building 3. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC 809.... Medications were stored in a locked medication cart and maintained in compliance with label instructions. Medications are dispensed according to physicians orders. A sample of resident records were reviewed, and reviewed records were complete and up to date. Staff present during the time of the visit had current criminal background clearance, proof of current first aid and CPR training, and staff training. The Administrator’s Certificate for Orlando Dy expires on 6/17/2024 and annual fees are current. No deficiencies were cited during today’s annual inspection. An exit interview was conducted with Dolores McGonigal, Senior Team Leader and a copy of this report was provided.