Routine inspection·March 7, 2025

Licensing Program Analyst (LPA)Sabrina Calzada arrived unannounced to conduct a required annual and met with caregiver, Galina Bonta, who contacted the Administrator, Titus Popa, who arrived shortly to the facility. LPA stated the reason for today's inspection. LPA observed (2) residents in the common area and (3) residents in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has an approved hospice waiver for (3) residents. Currently there is (1) resident on hospice. LPA and Administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms (1) shared resident bedroom, (3) resident bathrooms, kitchen, office, staff room and laundry/garage area. The laundry/garage and staff room is always locked. The facility was clean, in good repair and odor-free, and the bathrooms have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. Trash can with a lid to be added to each bathroom. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and sharps are locked in the kitchen. Medications are locked in a nearby cabinet and toxins are locked in the laundry room. Inside temperature measured 74*F and hot water measured 118*F in a bathroom. Fire extinguisher was last serviced on 1/21/2025, and the smoke alarms are functioning. There are activities/games on site with sufficient indoor/outdoor space, including a walking track and covered patio area with seating. There are (2) unlocked exit gates and no pools. (3) resident files were reviewed and found to be organized and contain current documentation. The care plans were last updated in January 2025 and physician reports were completed within the last (12) months. Medications and orders were reviewed for (1) resident orders matched medications being administered and documentation is complete. (8) staff files were reviewed. Files were organized and contained current training documentation, including First Aid/CPR. All staff training is completed every January. RCFE Administrator certificates are pending renewal. LPA obtained a current copy of current liability insurance and LIC308. LIC500 to be emailed by 3/14/25. There were no deficiencies observed. Exit interview. Copy of report provided.