Routine inspection·January 15, 2025

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with Andrii Chornei, caregiver, and stated the reason for today's inspection. Administrator, Tetyana Hankeych, arrived by 10:00 am to assist with the inspection. LPA observed all residents to be in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2). Currently there are (2) residents on hospice. LPA observed (2) nurses (hospice and home health), and a hospice care aide present during today's inspection. LPA and the Administrator 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 has a locked gate for staff access only. 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. Hot water measured 118*F in a resident bathroom. LPA observed sufficient 2+day perishable/7+day non-perishable supply of food and locked sharps in the kitchen. Toxins are secured in the laundry room and medications are locked in a separate cabinet. The inside temperature was 74*F. Smoke/monoxide alarms are in working order, fire door in compliance, and the fire extinguisher was last serviced 8/2/24. There is a covered patio with seating and (1) unlocked gate. LPA reviewed (3) resident files and found them to be organized and contain current paperwork. LPA observed sufficient linens/blankets/incontinent/PPE supplies, and a complete First Aid kit. Medications were reviewed for (1) residents and no discrepancies noted. Medication documentation is current/accurate. (4) staff files were reviewed- staff has completed initial/ongoing 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 and LIC308. Administrator certificate #7010593740- exp 8/8/25. There are no deficiencies issued during today's inspection. Exit interview with Administrator. Copy of report provided.