Routine inspection·August 16, 2024

Licensing Program Analysts (LPAs) Jessica Cho and William Vanegas arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPAs were greeted and granted entry by Caregiver Ana Bistroi. Licensee/Administrator Nicoleta Blaga was unavailable during the inspection however consented by telephone for a staff to sign the report on her behalf. The facility is a single story structure located in a residential neighborhood. Facility is licensed to operate for six (6) non-ambulatory and maintains a hospice waiver for three (3). There are five residents in care during today's visit with two caregivers on duty. LPAs observed the facility to be clean and sanitary. There are six resident bedrooms and four resident bathrooms. One bedroom was not occupied by a resident. All common areas were inspected including the attached two car garage and laundry room. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 115.5, 109.5, 109.5, and 108.8 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPAs observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. LPAs toured the exterior portion of the facility. LPAs observed the outdoor passageway free of obstruction. The exit gates were self-closing and self-latching. LPAs observed sufficient seating and shading. Facility maintains a fire extinguisher which was purchased on June 5, 2024. The auditory devices and dual-functioning smoke/carbon monoxide detectors were tested and operational. LPAs observed the emergency disaster supplies including food/water in the medication closet. Emergency evacuation drills are being conducted quarterly. The first aid kit contains all necessary elements. LPAs observed the required 'See Something, Say Something' (PUB475) poster in the correct size posted in the family room in the back of the house. The Administrator's Certificate for Nicoleta Blaga expires on February 9, 2025. LPAs conducted an audit of five residents' files and two personnel files. No discrepancies were noted. Staff and resident interviews were conducted. Medications were audited. No discrepancies noted. Admin was advised on the following: to post the Complaint Poster in the main entryway and to obtain doctors' orders for the bed rails for two out of five residents. Based on the observations made during today's visit, a deficiency is being cited, and a Technical Violation is being issued. An exit interview was conducted with Caregiver Nuta Miller, and a copy of this report and the appeal rights were provided at the end of the visit.