Routine inspection·January 24, 2024

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced required annual inspection. LPA identified herself and was granted entry into the facility. Licensee, Lilia Opalec, to whom LPA disclosed the purpose of the visit, arrived a short time later. According to the facility’s license, the facility is licensed for six (6) residents, all of whom may be non-ambulatory. During today’s inspection, there were six (6) residents in care. The facility also has an approved waiver for 3 hospice residents. LPA, accompanied by licensee, toured the interior and exterior of the facility. Pathways were free of obstruction and slip hazards. Doors, windows and screens were present and sinks and toilets were in working order. Hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate visitation, meetings, and activities. Hot water temperature in bathroom sinks in bathrooms that are used by residents initially measured at 152.3 and 153.1 degrees Fahrenheit. The hot water heater was adjusted during the visit and signs advising of the high hot water temperatures were posted in each bathroom. Hot water temperature measured at 141.2 degrees Fahrenheit at the end of the visit. There were no sharp objects or open-faced heaters accessible to residents; however, LPA observed Comet cleanser with bleach stored in a kitchen cabinet that was accessible to residents with a diagnosis of dementia. A fireplace with appropriate screening was observed in the living area of the home. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detector, and facility telephone were all working. Refrigerator and freezer were operational. There was at least 2 days of perishable food and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked cabinets. First aid kit was complete and readily accessible. LPA interviewed staff and clients. LPA also reviewed staff and client records/files. Resident 1’s (R1) file contained a Physician’s Report; however, the last two pages of the report were missing. Staff file contained proof of current first aid and negative TB test result. Confidential records were stored in locked area. Deficiencies were cited during today's visit, and plans of correction were jointly developed with the licensee. An exit interview was conducted with Lilia Opalec, to whom a copy of this report, the LIC 809-D, LIC 9102TAs, LIC 9102TV, the LIC 811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.