Routine inspection·January 24, 2024

At 9:30am, Licensing Program Analysts (LPAs) Angela Panushkina and Perchui Milena Khurshudyan arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPAs met with the Administrator, who granted access to the facility. LPAs explained the reason for the visit. At 9:45am LPAs conducted a tour of the physical plant and observed the following: Facility is licensed for capacity of six (6) Non-Ambulatory, of which one (1) may be bedridden (in room #1). Facility also has a hospice waiver for two (2) residents . There are four (4) bedrooms designated for residents use, two (2) bathrooms and LPAs were informed that the facility has awake staff at night. Bedrooms are appropriately furnished and have appropriate lighting. Bathrooms have soap, paper towels and hand washing signs were observed. The hot water temperature measured at 113.7°F. Extra towels and linens were readily available. During the LPAs did not observe any immediate health and safety concerns. Smoke detectors and carbon monoxide monitors were tested at 11:20am and observed to be functional. Facility maintains a temperature of 77°F. LPAs observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Sharps, cleaning supplies and medications are centrally stored and are kept locked in various kitchen cabinets and drawers. The fire extinguisher was observed in the kitchen area and was last serviced on 10/26/2023. Laundry is located by the kitchen, and LPA observed all chemicals and detergents are kept locked and inaccessible to residents in care. LPAs observed a clean covered patio and backyard furniture to accommodate the six (6) residents. Between 11:00am to 12:00pm, LPA reviewed records of four (4) clients and one (1) staff. Resident and staff records appeared to be complete and updated. LPA collected Certificate of Liability Insurance and LIC500. No citations issued during this visit. Exit interview conducted and copy of this report signed and delivered.