Routine inspection·February 27, 2025

At 1:10pm Licensing Program Analysts (LPAs), Angela Panushkina and Perchui Milena Khurshudyan, conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted by Staff #1 (S1), who granted access to the facility. Administrator arrived shortly after, and LPAs explained the reason for the visit. At approximately, 1:15pm LPA Panushkina and S1 conducted a physical tour the following observed: Common Areas : The facility maintains a comfortable temperature at 74°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Kitchen: At approximately, 1:20pm LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen cabinet and inaccessible to residents. There is a fire extinguisher was last serviced on 07/24/2024. Medications: At approximately, 1:25pm LPA observed medications are centrally stored and locked in the cabinet, by the kitchen area and inaccessible to residents in care. Bedrooms: There are four (4) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational. Facility has awake staff. Bathrooms: At 1:30pm LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 115.8°F. LPA observed appropriate grab bar and had non-skid mat. All trash cans in bathrooms had fitted lids to protect from cross contamination. Continue on LIC809-C Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 1:35pm they were tested and observed to be operational. Outside areas: At approximately, 1:40pm LPA toured the outside area of the facility and observed appropriate outdoor furniture, with a covered shaded area for residents LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. Between 1:45pm to 2:40pm, LPAs reviewed records of four (4) residents and three (3) staff. Resident and staff records appeared to be complete and updated. Administrative: Annual fee is current. All required signs are posted. LPA collected LIC500, Certificate of Liability Insurance and Administrator Certificate. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.