Routine inspection·July 21, 2025

At 8:00am on 07/21/2025, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct the facility annual inspection. LPA met with Designated Administrator Lida Kravchuk, announced who he is and the reason for the visit. This facility is an expansive 7 bedroom, 8 bathroom, living room, dining room, kitchen, laundry room, with a fenced front and side yard and a in back yard court yard with seating, umbrella, and a pergola that can be used for resident activities, visiting and lounging. There are six single occupancy resident rooms, all with on suite bathrooms. Each room has proper furniture, storage, and linin to meet regulation requirements. The seventh bedroom is a staff bedroom with on suite bathroom and there is a single half bathroom for use of all resident, staff and visitors. LPA observed dual smoke and carbon monoxide detectors through out the facility that are hardwired and functioning properly. The facility has a build in indoor sprinkler system that passed pressure testing on April 8, 2025 by Nargoan Fire & Safety Company. LPA observed a working fire extinguisher that was primed in the green reading near the courtyard exit. LPA observed a first aide kit in the same location as the fire extinguisher. LPA observed the medication cabinet in the kitchen to be locked and secured, LPA noted that the facility has at least two days of perishable foods and at least seven days of non perishable foods on hand for six residents and staff. LPA reviewed Emergency Disaster Plan, Infection Control Plan, Liability Insurance, and documented emergency disaster drill logs. LPA reviewed a sample of staff files and resident files. LPA conducted a cursory audit of Central Stored Medication Records (CSMR). LPA reviewed staff training and Facility Plan of Operations. LPA noted that there were no violations or citations as part of the facility physical inspection. Designated Administrator and LPA conducted a full review of the annual care tools and noted no violations or citations. LPA noted no violations or citations as a result of this annual facility inspection. Exit interview, report read, and report provided.