Routine inspection·November 2, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Eva Nemethy, Administrator, and Robert Kovacs, caregiver, and explained purpose of inspection. LPA observed (2) residents to be in their rooms at the start of the inspection and (1) resident return during the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (6). Currently, there are (0) residents on hospice. LPA printed an updated license to reflect an approved hospice waiver for (6). LPA and the Administrator toured the interior and exterior of the facility including the common areas, resident bedrooms (6), resident bathrooms (3), kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels, soap and 20-second hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and toxins in the kitchen and locked medications and additional toxins in the laundry room. LPA observed the inside temperature to be 68*F. LPA observed (1) unlocked gate from the inside back patio. There are no bodies of water or a pool. LPA observed sufficient incontinent products and PPE on hand. The hot water temperature measured 112*F in a guest bathroom and 120* F in the kitchen. The facility conducts quarterly fire drills. LPA reviewed (3) of (3) resident files and found them to contain the required paperwork and updated care plans. LPA reviewed (2) staff files and discussed staff training for (S1) and (S2) who do not have current First Aid/CPR on file and for (S1) who has not completed the required (20) hours of annual training. (2) citations are issued during today's inspection. LPA reviewed the Infection Control Plan and found it to be complete and address all required areas. LPA will return at a near date in the future to complete the annual inspection. Exit interview. Copy of report and appeal rights provided to the Administrator.