Routine inspection·January 6, 2023

Licensing Program Analyst Renee Campbell arrived at the facility on 01/06/2022 at approximately 1:30 pm and explained the purpose of the visit. Doina Savin is the Administrator and holds certificate #6010418740 that expires on 10/20/2023. This facility is a single story building licensed to serve six (6) ambulatory residents. Three residents may be approved for a hospice waiver. Currently there is a census 5 people in residence. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present. LPA Campbell observed sufficient seven-day non-perishable and two day perishable food supplies. Hot water temperature was measured at (116.8) degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguisher last serviced 12/07/2022. Thermostat observed at (72) degrees Fahrenheit. LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA compared medications and MAR for 2 out of 6 residents for the facility. First aid kit was checked and is complete. No deficiencies were found during today's inspection. Exit interview held with Doina Savin and a copy of report given at the conclusion of the visit.