Routine inspection·March 29, 2023

On 03/29/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required 1-year annual inspection. LPA met with Administrator, Antana Manev, and explained the purpose of the visit. Prior to entering the facility, LPA observed the facility to be in the middle of exterior renovations. Administrator informed LPA the driveway is currently getting re-done but the rain has delayed the cementing. LPA was informed once the rain ends, the driveway will be completed shortly. There are currently (5) residents residing at this facility, facility is licensed for 6. There are no residents who have restricted health care conditions and no residents who are currently receiving wound care. This facility has a hospice wavier for 2 and currently has 1 residents on Hospice services. LPA and Administrator conducted a tour of the interior of the facility including the common areas, resident bedrooms, staff bedrooms, bathrooms, and kitchen. Bathrooms and bedrooms were clean and in good repair. There is a locked storage for medications, sharps and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed documentation of fire drills conducted. LPA requested a copy of LIC 500, Administrator Certificate(s) and liability insurance to be emailed ton LPA by April 5, 2023. LPA and Administrator completed the full CARE tool and the facility was found to be in compliance. As a result of todays inspection, observations, and interviews, no deficiencies were observed or cited. Exit interview conducted with Administrator and report copy provided.