Routine inspection·December 5, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Tamara Grant, caregiver and explained purpose of inspection. Administrator Designee, Adina Sbingu, arrived at 11:00 am and Tetyana Hankeyvch, Administrator, and David Sferdian, caregiver/Administrator Designee, arrived at 11:15 am. LPA observed (1) resident sitting at the kitchen table and (4) residents residing in their room. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2). Currently there are (0) residents on hospice. (2) home health nurses and (1) physical therapist were present also during part of the inspection. LPA and the Administrator Designee toured the interior/exterior of the facility including the common areas, (6) resident bedrooms, (4) half-bathrooms and (1) main bathroom , kitchen, staff room, garage and locked laundry area. The upstairs area is not used by residents and is gated. LPA observed the facility to be clean, in good repair and odor-free, and the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. LPA observed sufficient 2+day perishable/7+day non-perishable supply of food and locked sharps in the kitchen. Toxins are locked in the laundry room and medications are locked in a separate cabinet. LPA observed sufficient linens/blankets/incontinent/PPE supplies, and a complete First Aid kit. The inside temperature was 73*F. Smoke/monoxide alarms are in working order, fire door in compliance, and the fire extinguisher was last serviced 8/1/23. There is a covered patio with seating and (1) unlocked gate on the patio. LPA reviewed (3) resident files and found them to be complete and contain current paperwork. Medications were reviewed for (2) residents and no discrepancies noted. Medication documentation is current and accurate. (3) staff file were reviewed. LPA observed complete paperwork and staff to have recently completed training. All staff is cleared/associated and has current First Aid/CPR certifications. LPA obtained a copy of the current liability insurance and requested LIC500. Discussed current roster. LPA to provide information on Guardian system. LPA confirmed RCFE Administrator certificate was renewed timely per Department website and is processing. There are no deficiencies issued during today's inspection. Exit interview with Administrator. Copy of report provided.