Routine inspection·May 19, 2023

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. LPA arrived at 11:00 am. At the time of arrival, there were two (2) staff on duty and six (6) residents in care. Administrator Katerina Zamyatina arrived at approximately 11:15 am. Co-Administrator Anton Zamyatin arrived at approximately 11:40 am. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility has a dementia waiver for six residents; a waiver for six hospice residents; and a fire clearance for six bedridden residents. Currently, there is one resident on hospice and there are no residents who are bedridden residing in the facility. A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster, bill of rights and Resident’s Rights. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. There are three fire extinguishers, inspection was current as of 2/7/2023. The carbon monoxide alarm and smoke alarms are hard wired and in good working order. Additionally, the facility has one fire pull alarm. The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. Frozen foods are properly wrapped and stored appropriately. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. Medications, First Aid kit, and additional first aid supplies are kept in a locked centrally stored cabinet. First aid kit was observed to be complete. Residents participate independently in music entertainment, games, an interactive cat, physical movement, gardening, baking, and outings to parks, restaurants, religious actiities, and other local attractions. Please continue to 809-C. The front yard consists of a walkway, sitting area, and a lawn and garden area. The backyard consists of a large, stamped concrete “flagstone” style surface with sitting areas with tables, chairs, and umbrellas. A retaining wall surrounds the backyard that encloses plants and trees. The backyard is conducive to exercise activities and visitations with family and friends. There are no bodies of water. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. A locked garage is located on the north side of the home used for storing personnel records, residents’ records, medical supplies, washing machine, dryer, cleaning supplies, and office supplies. The garage is inaccessible to residents in care. The kitchen, living room, and dining area are neat and clean. The facility maintains a comfortable temperature. There are six private bedrooms. Bedrooms #1-5 have private bathrooms. Bedroom 6 has a shared bathroom off the hallway. The bathrooms have secure grab bars and no skid flooring. Each bedroom has a bed, night stand, and lights and night stand lamps to provide sufficient lighting as well as access into the backyard area. All persons associated with the facility have criminal record clearance. Administrator certificate is valid. Exit interview conducted. No citations issued. A copy of this report issued at the time of the visit.