Routine inspection·August 9, 2021

Licensing Program Analysts (LPAs) Deborah Mullen and Jesse Gardner conducted an unannounced annual inspection. LPAs met with Barbara Balisi and Mercy Rapada, Caregivesr. LPAs conducted a walk through of the facility with Ms. Balisi. The facility is licensed for 6 residents (5 non-ambulatory and 1 bedridden). The facility has an approved hospice waiver for 4 residents. The facility is a two story home. Upstairs there are 4 bedrooms, 1 bath and a loft area. Downstairs there are 3 resident bedrooms, 2 baths, a living room, dining room and kitchen. The second story is not used by the residents. LPAs conducted an inspection of the home and found that each resident b edroom was furnished with a bed, dresser and overhead lighting. 3 out of 3 resident's bedrooms did not have a night stand and a reading lamp for resident use. The bathrooms had handrails for resident safety. The facility had amble towels and linens for resident cleanliness. The kitchen had cups, plates, bowls, utensils, pots and pans. Sharp knives are kept in a locked drawer in the kitchen. The cleansers are kept in a locked cabinet under the kitchen sink. LPAs observed 7 days non-perishable and 2 days perishable food supply for residents. LPAs observed the backyard to be fully fenced with a shade area for residents. During the inspection, LPAs observed dressers and drawers in the back yard along the fence, as well as on the patio. Facility staff was advised that the furniture needs to be removed from the backyard. During the inspection, LPAs discussed infection control practices and procedures with Ms. Balisi and Ms. Rapada. An exit interview was conducted and a copy of this report was reviewed with and provided to Ms. Balisi and Ms. Rapada.