Inspection Reports for Sky Park Gardens
5510 Sky Pkwy, Sacramento, CA 95823, CA, 95823
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations determined to be unsubstantiated. The facility’s most recent report from April 9, 2025, was clean with no deficiencies noted during an investigation related to a resident’s death. Earlier reports showed some isolated issues, primarily related to facility maintenance such as leaking faucets and ceiling leaks, as well as a substantiated complaint about staff failing to treat residents with dignity and respect. There were no fines, enforcement actions, or severe deficiencies reported. The overall trend suggests improvement, with recent inspections showing fewer or no deficiencies compared to some earlier findings.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Census: 80
Capacity: 144
Deficiencies: 0
Apr 9, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to conclude the investigation of Resident 1's death that occurred on 2024-01-04.
Findings
The investigation found no violations of Title 22 regulations, no deficiencies were observed or cited during the inspection, and staff interactions and medication administration were appropriate.
Report Facts
Facility capacity: 144
Resident census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rabindar Singh | Facility staff involved in investigation discussions | |
| Susan McCloure | Assistant Administrator | Facility staff involved in investigation discussions and met during inspection |
| Kevin Gould | Licensing Program Analyst | Conducted the unannounced case management visit |
| Cynthia Tamayo | Licensing Program Analyst | Conducted the unannounced case management visit and signed the report |
| Sherry Richardson | Administrator/Director | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 144
Deficiencies: 0
Feb 27, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that facility staff made sexual advances to a resident in care.
Findings
The investigation included interviews and record reviews, revealing inconsistencies in the allegations and no corroborating evidence. The accused staff member's schedule did not align with the alleged incidents, and the resident denied any sexual assault claims. The allegation was found to be unsubstantiated.
Complaint Details
The complaint alleged that facility staff made sexual advances to a resident. The investigation found no evidence to substantiate the claim, and the allegation was determined to be unsubstantiated.
Report Facts
Capacity: 144
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation |
| Susan McClure | Assistant Administrator | Met with the investigator and provided staffing information |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 144
Deficiencies: 1
Feb 27, 2025
Visit Reason
An unannounced complaint investigation visit was conducted on 02/27/2025 regarding multiple allegations including failure to provide transportation, meal service issues, pest control, response to resident calls, and illegal eviction.
Findings
The investigation substantiated the allegation that the facility was in disrepair with maintenance issues such as leaking faucets and ceiling leaks. All other allegations including failure to provide transportation, meal service, pest control, timely response to calls, and illegal eviction were unsubstantiated based on interviews, record reviews, and observations.
Complaint Details
The complaint investigation was triggered by multiple allegations received on 12/23/2024, including failure to provide transportation to medical appointments, failure to meet dietary needs, pest control issues, untimely response to resident calls, and illegal eviction. The allegation of facility disrepair was substantiated, while all other allegations were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87303 Maintenance and Operation (a): The facility shall be clean, safe, sanitary and in good repair at all times. Evidence showed leaking sink and shower faucets and ceiling leaks posing potential health and safety risks. | Type B |
Report Facts
Capacity: 144
Census: 80
Eviction arrears amount: 6080.28
Response time: 1163
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sherry Richardson | Administrator | Facility administrator involved in eviction notice delivery and interviews |
| Susan McClure | Assistant Administrator | Met with investigator, provided interviews and context on multiple allegations |
Inspection Report
Complaint Investigation
Capacity: 144
Deficiencies: 0
Feb 6, 2025
Visit Reason
The visit was an unannounced follow-up complaint investigation regarding an allegation that staff were not preventing a resident from harassing other residents in care.
Findings
The investigation found no consistent evidence that the resident intentionally harassed others or that staff failed to intervene appropriately. Staff actively supervised the resident and addressed behaviors related to cognitive impairments. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff were not preventing a resident from harassing other residents. The investigation included interviews and record reviews, concluding the allegation was unsubstantiated.
Report Facts
Facility capacity: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stephen Richardson | Licensing Program Manager | Named in report as Licensing Program Manager |
| Susan McClure | Assistant Administrator | Met with investigator during the visit |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 144
Deficiencies: 0
Dec 31, 2024
Visit Reason
The visit was conducted as a follow-up complaint investigation regarding an allegation that the facility installed a surveillance device in a resident's room without consent.
Findings
The investigation found no evidence of surveillance devices in resident rooms. Surveillance cameras were only installed in common areas. The allegation was determined to be unfounded as the devices in question were standard safety equipment such as smoke detectors and sprinkler systems.
Complaint Details
The complaint alleged that a surveillance device was installed in a resident's room without consent. After interviews, observations, and record reviews, the allegation was found to be unfounded.
Report Facts
Resident units inspected: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stephen Richardson | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Susan McClure | Assistant Administrator | Met with the Licensing Program Analyst during the visit |
Inspection Report
Census: 89
Capacity: 144
Deficiencies: 0
Dec 12, 2024
Visit Reason
The visit was an unannounced case management inspection regarding a death incident reported for a resident who passed away on 2024-10-15.
Findings
The investigation focused on reviewing the death certificate, which listed cardiac arrest as the immediate cause of death with contributing health conditions. No autopsy or biopsy was performed, and no signs indicated the death was questionable. No deficiencies were cited during this visit.
Report Facts
Facility capacity: 144
Resident census: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the case management visit |
| Susan McClure | Assistant Administrator | Met with the Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Capacity: 144
Deficiencies: 3
Oct 23, 2024
Visit Reason
The inspection was an unannounced required annual inspection visit conducted to ensure compliance with Title 22 regulations for the facility.
Findings
The inspection found multiple deficiencies including five out of six fire extinguishers being expired, one resident bathroom sink faucet lacking hot water, absence of a grab bar by the toilet in one resident bathroom, and failure to conduct quarterly emergency drills since COVID. Technical advisories were also provided for minor repairs and cleaning.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Five out of six fire extinguishers were expired and last serviced on 10/4/23, posing an immediate health and safety risk. | Type A |
| One resident bathroom sink faucet did not have hot water, posing a potential health and safety risk. | Type B |
| Facility has not conducted quarterly emergency drills since COVID, posing a potential health and safety risk. | Type B |
Report Facts
Fire extinguishers expired: 5
Resident capacity: 144
Bedridden residents allowed: 10
Resident files reviewed: 6
Staff files reviewed: 8
Plan of Correction due dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Susan McClure | Assistant Administrator | Met with Licensing Program Analyst during inspection and discussed findings. |
| Stephen Richardson | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 144
Deficiencies: 0
Mar 14, 2024
Visit Reason
The visit was an unannounced case management follow-up on a death report of a resident received on 2024-03-08. The investigation focused on circumstances surrounding the resident's death on 2024-03-05.
Findings
No deficiencies were cited during this visit per California Code of Regulations, Title 22. The Licensing Program Analyst conducted file review and obtained pertinent documents but could not interview staff who first discovered the resident. The investigation will continue with a future visit.
Complaint Details
The visit was triggered by a death report complaint received on 2024-03-08 regarding a resident found on the floor having difficulty breathing and subsequently pronounced dead after paramedics performed CPR.
Report Facts
Facility capacity: 144
Resident census: 71
Time of visit: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erisa Jonathan | Medication Technician | Met with Licensing Program Analyst during the visit and explained the purpose of the visit |
| Tung Truong | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Census: 77
Capacity: 144
Deficiencies: 0
Jan 9, 2024
Visit Reason
An unannounced case management inspection was conducted to ensure the health and safety of residents and to address additional questions regarding the death of a resident (R1).
Findings
Based on interviews, information gathered, and documentation reviewed, no deficiencies were assessed at the time of inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan McClure | Assistant Administrator | Met with Licensing Program Analyst during inspection |
| Tung Truong | Licensing Program Analyst | Conducted the unannounced case management inspection |
| Czarrina A Camilon-Lee | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 144
Deficiencies: 2
Jan 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations of rodent infestation and unclean conditions at the facility.
Findings
The investigation found substantiated evidence of a rodent infestation and unclean conditions, including rat feces in multiple resident rooms and dirty carpets, posing a potential health and safety risk to residents.
Complaint Details
The complaint investigation was substantiated based on observations of rodent infestation and unclean conditions. The preponderance of evidence standard was met.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility was not maintained in a state of good repair and did not provide a safe and healthful environment due to rodent infestation. | Type B |
| The facility was not clean, safe, sanitary, and in good repair at all times, with rat feces and debris found in resident room #145. | Type B |
Report Facts
Capacity: 144
Census: 78
Plan of Correction Due Date: Jan 18, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tung Truong | Licensing Program Analyst | Conducted the complaint investigation visit |
| Susan McClure | Assistant Administrator | Met with the Licensing Program Analyst during the investigation |
| Sherry Richardson | Administrator | Facility administrator who agreed to conduct training and corrective actions |
Inspection Report
Annual Inspection
Census: 84
Capacity: 144
Deficiencies: 0
Nov 3, 2023
Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection visit conducted to assess compliance with regulatory standards.
Findings
The facility was observed to be clean and in good repair with required furniture, lighting, and adequate food supplies. Staff and resident files were reviewed, and all staff had appropriate background clearances and training. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 8
Staff files reviewed: 6
Licensed capacity: 144
Current census: 84
Hot water temperature: 115.5
Facility temperature: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Richardson | Administrator | Met with Licensing Program Analyst during inspection |
| Susan McClure | Assistant Administrator | Accompanied Licensing Program Analyst during physical plant inspection |
| Tung Truong | Licensing Program Analyst | Conducted the inspection visit |
| Czarrina A Camilon-Lee | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 144
Deficiencies: 1
Sep 1, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2023-08-02 alleging that staff failed to treat residents with dignity and respect.
Findings
The investigation substantiated the complaint that facility staff failed to treat residents with dignity and respect. Interviews with residents revealed that 6 out of 10 residents reported staff entering rooms without knocking, turning on lights without turning them off, and not shutting doors, posing potential health and safety risks.
Complaint Details
The complaint was substantiated based on interviews with 10 residents and 10 staff. Six residents expressed concerns about staff behavior related to dignity and respect. Staff denied the allegations. The preponderance of evidence supported the complaint.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure residents are treated with respect and dignity, including staff entering rooms without knocking and leaving lights on. | Type B |
Report Facts
Residents interviewed: 10
Residents with concerns: 6
Staff interviewed: 10
Capacity: 144
Census: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pang Lee | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Rabindar Singh | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Susan McClure | Dietary Director/Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Czarrina A Camilon-Lee | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Follow-Up
Census: 85
Capacity: 144
Deficiencies: 1
Aug 18, 2023
Visit Reason
The visit was conducted as a case management follow-up in response to learned deficiencies from a prior complaint investigation regarding water temperature being too hot in a resident's room.
Findings
The inspection found that the resident bathroom sink water temperature measured at 128.5°F, exceeding the regulatory limit of 120°F, posing a potential health and safety risk to residents.
Complaint Details
The visit was in response to a complaint investigation (control number: 27-AS-20230802083802) where Resident #1 reported water being too hot in their room, confirmed by measurements exceeding regulatory temperature limits.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Faucets used by residents for personal care did not maintain hot water temperature within the required range of 105 to 120 degrees Fahrenheit, with observed temperature at 128.5°F. | Type B |
Report Facts
Water temperature: 128.5
Water temperature: 129
Deficiency count: 1
Plan of Correction Due Date: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rabindar Singh | Business Office Manager | Met with Licensing Program Analyst during the visit and received the LIC 809 report and appeal rights |
| Pang Lee | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Czarrina A Camilon-Lee | Licensing Program Manager | Supervisor of the Licensing Program Analyst and named in the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 144
Deficiencies: 0
Aug 18, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations of staff neglect, failure to meet residents' needs, and withholding food from residents at Skypark Manor.
Findings
The investigation included interviews with residents and staff, review of facility files and medical documents, and observations. All allegations were found to be unsubstantiated or unfounded, with no evidence supporting neglect, failure to meet residents' needs, or withholding food. No deficiencies were cited.
Complaint Details
The complaint investigation was triggered by allegations that staff neglected residents, failed to meet residents' needs, and withheld food from residents. Interviews with 10 residents and 10 staff members consistently denied these allegations. The findings were unsubstantiated or unfounded, meaning there was no evidence or reasonable basis to support the complaints.
Report Facts
Residents interviewed: 10
Staff interviewed: 10
Facility capacity: 144
Facility census: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pang Lee | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Czarrina A Camilon-Lee | Licensing Program Manager | Oversaw the complaint investigation |
| Rabindar Singh | Business Office Manager | Met with Licensing Program Analyst during the investigation |
| Sherry Richardson | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 144
Deficiencies: 1
Jan 23, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident was assaulted by another resident while in care.
Findings
The investigation substantiated the allegation that a resident was assaulted by another resident. The facility staff attempted to intervene and separate residents to prevent altercations, but an assault occurred on 11/18/2022. No injuries or fractures were sustained by the assaulted resident.
Complaint Details
The complaint was substantiated. The allegation was that a resident was assaulted by another resident while in care. The investigation included review of resident medical records, facility incident reports, and interviews. The preponderance of evidence standard was met.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure combative residents were consistently kept separate from the facility community, posing a potential health and safety risk for residents in care. | Type A |
Report Facts
Capacity: 144
Census: 88
Deficiency Type A count: 1
Plan of Correction due date: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Ivey-Canady | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Stephen Richardson | Licensing Program Manager | Named in report as Licensing Program Manager |
| Sherry Richardson | Administrator | Facility Administrator met during investigation and named in findings |
Inspection Report
Follow-Up
Census: 87
Capacity: 144
Deficiencies: 1
Nov 16, 2022
Visit Reason
An unannounced Plan of Correction (POC) visit was conducted to verify correction of citations issued during the case management visit on 10/31/2022.
Findings
The facility corrected the previously cited deficiencies under Title 22 Regulations and complied with the terms of the POC by the due date. However, a new citation will be issued for failure to request an exception for a resident with a prohibited health condition.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to seek an exception as required to retain resident R1 with a prohibited health condition, posing a health and safety risk. | Type A |
Report Facts
Capacity: 144
Census: 87
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the unannounced POC visit and authored the report |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 87
Capacity: 144
Deficiencies: 0
Nov 7, 2022
Visit Reason
The visit was an unannounced case management incident inspection conducted in response to an incident report dated 10/27/2022 regarding a resident falling from a scooter on the upper level.
Findings
No deficiencies were observed during the visit. The resident involved in the incident was sent to the emergency room and underwent multiple CT scans which were all negative. Medication adjustments were made due to allergies.
Report Facts
Incident report date: Oct 27, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Richardson | Administrator | Met with Licensing Program Analyst during the visit and discussed the incident |
| Jamie Ivey Canady | Licensing Program Analyst | Conducted the unannounced visit regarding the incident report |
| Stephen Richardson | Licensing Program Manager | Named in the report header |
Inspection Report
Census: 87
Capacity: 144
Deficiencies: 0
Nov 7, 2022
Visit Reason
The visit was an unannounced case management health check focused on Resident 1 regarding a pressure injury.
Findings
No deficiencies were observed during the visit. Resident 1 has a stage 2 sacral pressure ulcer with granulation tissue and no signs of infection. Follow-up with home health care and Nurse Practitioner is planned to ensure healing progression.
Report Facts
Pressure ulcer size: 1.4
Pressure ulcer size: 0.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Ivey Canady | Licensing Program Analyst | Conducted the unannounced health check visit and follow-up |
| Sherry Richardson | Administrator | Facility administrator met during the visit |
| Michele Williams | RN | Interviewed regarding Resident 1's pressure injury |
Inspection Report
Annual Inspection
Census: 88
Capacity: 144
Deficiencies: 3
Oct 31, 2022
Visit Reason
Unannounced Required 1 Year Annual Inspection Visit to assess compliance with Title 22 regulations and facility licensing requirements.
Findings
The facility was inspected for physical plant conditions, infection control, staff certifications, and resident care documentation. Deficiencies were found related to expired medication, incomplete medication signing, outdated assessments for residents with dementia, and failure to provide timely treatment for a resident's pressure injury, posing immediate risk to resident health and safety.
Severity Breakdown
Type A: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Expired medication found in medication room refrigerator for resident R1 (expired 07/2022) and controlled medications not signed for at shift changes on multiple days in October. | Type A |
| Resident R6 with dementia did not have an updated annual medical assessment and reappraisal as required. | Type A |
| Failure to provide timely treatment and follow-up for resident R1's pressure injury noted on 10/7/2022, resulting in ER visit and hospitalization without discharge papers or treatment orders upon return. | Type A |
Report Facts
Facility capacity: 144
Current census: 88
Food supply: 7
Food supply: 2
Fire extinguisher inspection date: Oct 20, 2022
Medication expiration date: 202207
Hospitalization duration: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted inspection and documented findings |
| Liza King | Licensing Program Manager | Supervisor overseeing inspection |
| Sherry Richardson | Administrator | Facility administrator present during inspection |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 144
Deficiencies: 0
Sep 27, 2022
Visit Reason
The visit was an unannounced case management incident investigation regarding a resident-to-resident altercation that occurred on 09/19/2022, where one resident hit another with a can of soda causing injury.
Findings
No deficiencies were observed during the visit. The injured resident refused medical assistance and was found to have no current injury. The facility reported no further incidents between the residents involved and stated residents are monitored closely.
Complaint Details
The visit was triggered by a complaint incident report dated 09/19/2022 involving a resident altercation resulting in injury. The complaint was investigated and found to have no deficiencies.
Report Facts
Capacity: 144
Census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Richardson | Administrator | Met with Licensing Program Analyst during the visit and provided information about the incident and facility operations |
| Jamie Ivey Canady | Licensing Program Analyst | Conducted the unannounced visit and investigation |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 68
Capacity: 144
Deficiencies: 0
Mar 17, 2022
Visit Reason
The visit was an unannounced case management visit conducted due to a recent change of ownership at the facility.
Findings
The facility was observed to be clean and in compliance with Title 22 regulations. No deficiencies were observed during the visit. Staff and residents showed no signs or symptoms of COVID-19 in the last 10 days.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan McClure | Assistant Administrator | Met with LPAs during the visit and was present at the exit interview. |
Inspection Report
Census: 71
Capacity: 144
Deficiencies: 0
Nov 30, 2021
Visit Reason
The Licensing Program Analyst conducted an unannounced case management visit due to the recent change of ownership.
Findings
The facility was observed to be clean and in compliance with Title 22 regulations, with no deficiencies noted. Staff and residents showed no signs of COVID-19 symptoms, and all reviewed files were complete with updated documentation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Richardson | Administrator | Met with Licensing Program Analyst during the visit. |
| Christina Valerio | Licensing Program Analyst | Conducted the case management visit. |
| Stephen Richardson | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing
Census: 71
Capacity: 144
Deficiencies: 0
Nov 2, 2021
Visit Reason
The visit was an announced pre-licensing inspection conducted to evaluate the facility's readiness for licensing and to ensure compliance with health and safety regulations.
Findings
The facility was found to have no deficiencies. The physical plant, emergency supplies, fire safety equipment, and resident rooms were inspected and found to be in compliance with regulatory standards. The pre-licensing was completed and passed.
Report Facts
Fire clearance capacity: 134
Fire clearance capacity: 10
Hot water temperature readings: 109.1
Hot water temperature readings: 112.3
Hot water temperature readings: 110.4
Hot water temperature readings: 111.7
Hot water temperature readings: 110.2
Hot water temperature readings: 112.5
Hot water temperature readings: 109.6
Hot water temperature readings: 112.4
Emergency food supply capacity: 144
Fire extinguisher last check date: Sep 23, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Richardson | Administrator | Facility Administrator present during pre-licensing visit |
| Christina Valerio | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Stephen Richardson | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 77
Capacity: 144
Deficiencies: 0
Sep 21, 2021
Visit Reason
The visit was conducted as part of the original licensing process for the facility, including a telephone call with the applicant/administrator to confirm understanding of licensing requirements and program policies.
Findings
The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of facility operation, staff qualifications, program policies, and other regulatory requirements. The COVID-19 Mitigation Plan was also discussed and emailed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Richardson | Administrator | Applicant/administrator participating in licensing process and telephone call |
| Mir Bokhari | Applicant/administrator | Applicant/administrator participating in licensing process and telephone call |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on report |
| Maria Ejaz | Licensing Program Analyst | Named as Licensing Program Analyst on report |
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