Routine inspection·May 22, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver Elvia Nazares, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. The Administrators Ebraheem Hamed and Bashar Myyas joined at a later time. Facility Overview: The facility is a single story building with five(5) residents bedrooms, 2 staff bedrooms, (5) bathrooms, a dinning room, an office, a kitchen and a detached garage. There is no gated pool and there are no firearms on the premises. Deficiencies were issued regarding a separate unit with 16 residents, using the same address as the licensed facility. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to residents. The smoke detector and carbon monoxide detector were in good working condition. LPA observed fire extinguishers to be in compliance with the department's requirements. The water temperature was tested within regulations measuring at 116.4 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The administrator holds a current administrator’s certificate with expiration date of April 24, 2026 and a CPR certification with the expiration date of February 19th, 2025 Record Review and Resident/Staff Files: LPA reviewed files for three(3) staff members, confirming criminal clearance, updated training, and CPR/First Aid certification. Three (3) residents' files were reviewed and contained all required documentation. LPA observed first kit to be locked and inaccessible to the residents in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the office area. LPA reviewed medications for three(3) residents, confirming that all medications were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on May-01-2025, which met the department's requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee/Administrator Ebraheem Hamed.