Routine inspection·September 25, 2025

At 8:15am on 09/25/2025, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct the facility annual inspection. LPA met with Administrator, Valentyna Polunetss, announced who he is and the reason for the visit. This facility is a seven bedroom, three bathroom, living room, dining room, kitchen and den. There is a large fenced back yard with seating and shade for activities and visitors. Six of the bedrooms are single occupancy resident rooms, the seventh bedroom is designated as a staff bedroom. Medications are locked and stored in the laundry room off the kitchen. There is a 1st aide kit also stored in the medication cabinets. LPA observed a fire extinguisher primed and in the green located in the laundry room. LPA observed at least two days of perishable foods, and at least seven days of non perishable food for six residents and staff. LPA observed resident bedrooms to have linins and furniture per regulation requirements. LPA tested water temperature throughout the faculty to be in regulation parameters of 105*-120*(f). LPA noted that all bathrooms have liquid soap, paper towels, non slip mats and working commodes. LPA noted that the hallways, passage ways and doors were all feel and clear of obstacles and debris. LPA noted that the facility was clean and in good repair. LPA conducted a cursory review of facility Emergency Disaster Plan, Infection Control Plan, Liability Insurance, Staff and Resident files, and Centrally Stored Medication Records (CSMR). LPA reviewed and noted that all staff are background cleared. LPA noted that both facility Administrators had current Administrator Certificates. LPA notes that the physical inspection of the facility reviled no violations or citations. Administrator and LPA conducted a full review of the facility care tools modules. LPA noted no violations or citations during the care tools review. At this time there are no violations or citations as a result of the annual facility inspection. Exit interview, report read, and report provided.