Routine inspection·November 30, 2023

On 11/30/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct an annual inspection utilizing the full CARE inspection tool. LPA met with Administrator, Mariana Oltean, and explained the purpose of the visit. Facility census is six (6) residents in care, with three (3) residents on hospice services. During time of visit, LPA observed R1 to be leaving the facility with friends for lunch. LPA and Administrator discussed the current concerns at the facility. Administrator stated no concerns with staffing. Administrator informed LPA there is concerns regarding family disputes with R2's family members. LPA informed Administrator LPA will seek advisory from management to better assist Administrator. During today's inspection, LPA and Administrator conducted a tour of the facility to ensure the health and safety of residents in care. Areas toured including but not limited to: kitchen, living room, laundry room, two (2) caregivers room, six (6) residents private rooms, two (2) shared restrooms and the common areas. LPA observed sharps, toxins and medications to be locked and secured. LPA observed facility to have ample supply of nonperishable foods. During LPA's tour of the facility, no immediate health, safety and personal rights violations was observed. No deficiencies observed. LPA conducted a file review of four (4) residents records and four (4) personnel records. LPA observed residents and personnel files to be complete with the required documents. Full CARE inspection tool was completed and facility is found to be in compliance. At this time, LPA is requesting a copy of facility liability insurance to be emailed to LPA by Friday 12/08/2023. Exit interview conducted and a copy of the report was provided.