Routine inspection·October 19, 2023

Licensing Program Analyst (LPA's) Gina Saucedo, Michael Cava and Angela Panushkina arrived at the facility at 10:30 am to conduct an annual. LPA's met with Natalya Sadovskaya and explained the purpose of this visit. She then called the administrator Stella Ezros whom arrived about ten minutes after. Stella Ezros walked us through the facility for our physical plant inspection. A tour of the physical plant was conducted at 10:55am and the following was observed: The facility has six (06) bedrooms and (06) bathrooms located in the bedrooms currently occupying (1) one residents. The facility has one main entrance being used, there are required Covid-19 prevention signage (handwashing, coughing etiquette, and physical distancing) posting in the entrance. The PPE screening station is located on a table at the entrance equipped with sufficient PPE readily accessible, a thermometer, hand sanitizer, gloves, mask, and sign in sheet at the time of visit. The facility maintains an overall temperature at 75 degrees Fahrenheit. Kitchen: The LPA's observed the kitchen to be clean and an adequate supply of perishables and non-perishable food. There is a pantry storing dry food, condiments, and can goods above the refrigerator. Food was properly labeled and stored. All appliances observed to be operational and in good repair. Fire extinguisher observed to be under the kitchen sink fully charged. Sharps and chemicals were observed to be stored in the kitchen pantry inaccessible to residents in care. LPA's observed (6) bedrooms to be appropriately furnished with sufficient lighting. LPA observed appropriately bed linen and comforters on all beds. All bedrooms are single occupancy. All bedrooms observed to be clean and clear from obstruction. LPA's observed (6) bathrooms which are located inside of the bedrooms to be clean and in proper operation. Water temperature measured at 115.2 degrees Fahrenheit. LPA's observed appropriate grab bars in shower and toilet area with appropriate non-skid mats in six (6) out of (6) bathrooms. Bathrooms are stocked and equipped with soap and private towels use. Medications: LPA's observed the locked medication cabinets in the medication room located in the hallway. LPA's observed the first aid kit and manual located and stored in the medication room. Living, dining room and common areas: LPA's observed these areas to be appropriately furnished with tables and chairs and adequate lighting. Observed to be neat and clean. The smoke detector was tested and observed to be working, it is not hard wired and interconnected throughout facility. The facility has does not have a carbon monoxide detector a Type A citation was issued. Backyard: LPA's observed the outside area and surrounding the facility it was clean and clear from obstruction and debris. The facility has a covered area with a table and chairs for seating, and additional table and chairs for lounging. LPA's observed a swimming pool with a self-latching gate measured a pad lock that requires a key located on the premises to be locked during the visit. LPA's observed a detached garage that is separated into two sections to be locked and storing extra personal care items, incontinent supplies, PPE in one section, and the laundry machines and toxins, extra wheelchairs, walkers, and mattresses on the second section of the garage. Exit interview conducted. Copy of report, Type A citation issued.