Routine inspection·February 23, 2023

On 2/23/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct an annual inspection. LPA met with Administrator, Vlad Custura, and explained the purpose of the visit. Prior to entering the facility, LPA ensure to apply hand sanitizer and wore a surgical mask. The facility has a capacity of 6, today's census is 6. The facility is in compliance to the the hospice waiver of (4) as LPA observed the facility to have (3) residents on hospice services. LPA and Administrator toured the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: (6) residents bedroom, (3) bathroom, laundry room, kitchen, private staff room and common areas. LPA observed the medication to be locked and secured in the private staff room. LPA observed (4) residents to be in their private bedrooms and (2) residents to be watching television in the common area. LPA observed the Administrator Certificate to be up to date with expiration date of 4/30/2024. LPA observed the facility to have their liability to be renewed. LPA requested a copy of the liability insurance, Administrator Certificate, and LIC 500 to be emailed to LPA by Friday March 3, 2023. Infection Control Domain was completed with Administrator, the facility is found to be in compliance. No deficiencies observed. Exit interview conducted and a copy of the report was left at the facility.