4 Reports
Notice — Nov 20, 2025
State
Date: Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their health information may be used and disclosed, and their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report — Mar 9, 2023
Complaint Investigation State
Date: Mar 9, 2023
Visit Reason
The inspection was conducted as a complaint investigation and a COVID-19 focused infection control survey.
Complaint Details
Complaint number NJ160557 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, and in compliance with infection control regulations and CDC recommended practices for COVID-19.
Report Facts
Sample size: 13
Inspection Report — Jan 11, 2022
Abbreviated Survey State
Date: Jan 11, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices during the COVID-19 pandemic.
Findings
The facility failed to implement an effective infection prevention and control program, specifically housekeeping staff did not perform proper hand hygiene between tasks and glove changes, and failed to adhere to manufacturer’s recommended contact times for disinfectants. These deficiencies had the potential to affect all residents.
Deficiencies (2)
Housekeeping staff failed to perform hand hygiene between tasks and glove changes, risking transmission of COVID-19 and other infections.
Housekeeping staff failed to adhere to manufacturer's recommended contact time for chemical disinfectants during cleaning, potentially causing ineffective disinfection and chemical hazards.
Report Facts
Sample Size: 5
Contact time for disinfectants: 10
Frequency of cleaning common restrooms: 3
Frequency of quality assurance audits: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping Director | Interviewed regarding housekeeping staff training and infection control practices | |
| Executive Director | Interviewed regarding infection control importance and corrective actions | |
| Housekeeper #1 | Observed failing to perform hand hygiene and proper disinfectant use | |
| Housekeeper #2 | Observed failing to perform hand hygiene between glove changes |
Inspection Report — Nov 16, 2020
Routine State
Date: Nov 16, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards and CDC recommended practices to prepare for COVID-19.
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