Heritage Place.

On 07/18/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with administrator Villarose Gratuito then later the co-licensee Thomas Eisman arrived and LPA met with him as well. LPA was allowed entry into the facility. This is a single level facility approved all residents to be non-amblatory and 6 hospice residents. The physical plant was toured inside and outside of the facility to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer adjacent to the facility stove. Medications are observed to be locked in a cabinet adjacent to the refrigerator. Perishable and non-perishable food items are observed as in place. There are additional refrigerator and freezer in the garage area which also carry additional food supplies. First aid kit is observed as complete with required items. LPA observed that there are multiple fire extinguishers in place inspected 06/21/2023, smoke detector, carbon monoxide detectors are observed in place through out the facility, and central heating/cooling system. The facility has fire sprinkler system through out the facility. PPE and additional food supplies are observed as in place. Laundry area is also observed as fully operational. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted on 01/08/202 which can pose a potential health and safety risks for residents and staff in care. Per administrator they have conducted additional drills but the documentation does not reflect this from happening. Water temperature was measured at 130F in a common resident bathroom in the hallway connecting to resident rooms. This temperature poses an immediate health and safety risk to residents in care. Continued on next page... 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 Page 2 LPA observed rooms numerous resident rooms and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. All resident rooms are equipped with half baths. Resident linen supplies are observed as in place. Cleaning supplies are also observed as locked inaccessible to residents in care. There is a staff room connected to the living room. Facility does not handle resident monies. The following updated forms are requested to be submitted to CCLD by 07/25/2024 : • Copy of updated Administrator Certificates • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC400 Affidavit Regarding Client/Resident Cash Resources • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property Citation issued on this day on the attached LIC809D. Report is reviewed with the administrator and a copy is provided on this day.