Routine inspection·September 6, 2024

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregiver and Administrator Designee, Eva Bogomaz, and explained purpose of inspection. LPA met with Administrator, Raisa Oselsky, who arrived shortly. LPA observed (4) residents watching television in the common area, and (2) residents resting in their rooms. There is an approved hospice waiver for (3) residents. Currently there is (1) resident under hospice care. LPA and Administrator toured the interior and exterior of the facility including the common areas, (6) private resident bedrooms, (2) bathrooms, staff area, kitchen, laundry area. LPA observed the home to be clean, safe and in good repair and to not pose any health or safety risks. Inside temperature measured 75*F. There is a front enclosed patio, backyard seating with shade, and a walking path. Fire extinguisher last serviced 5/8/24, and the smoke monoxide alarms are in working order. The facility conducts quarterly fire drills. There is sufficient 2+day perishable and 7+day non-perishable food. Sharps and medications are locked in the kitchen and toxins are locked in the nearby laundry area. Hot water measured 105*F in kitchen. Bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels, trash can with lid and 20-second hand-washing poster. There is a complete First Aid kit and linens/towels/blankets/PPE on hand. LPA reviewed (3) of (6) resident files and observed paperwork to be current and organized. Medications were reviewed for (1) resident and orders match medications being administered. Medication documentation is current. LPA reviewed (3) staff files and observed First Aid/CPR to be current. Administrator certificate #7002431740- expires 12/19/25. Staff are in the process of completing the required annual training. Copy of HSC 1569.625 and HSC 1569.69 provided. LPA received an updated copy of liability insurance. LPA requested an updated copy of LIC500 and LICC308 be provided to the Dept by 9/13/124. There were no deficiencies noted in today's inspection. Exit interview. Copy of report provided to the Administrator.