Routine inspection·November 5, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. LPA met with Asel Telman, Administrator and explained the purpose of the visit. The facility is a one-story Residential Care Facility for the Elderly (RCFE) and accepts residents with a dementia diagnosis. The facility is licensed for a capacity of six non-ambulatory residents of which 2 residents may be bedridden. The home has a hospice waiver for six residents. Entrance Interview Conducted: There are currently 6 residents residing in the facility. Upon arrival, there were five residents in care with two care staff on duty. Administrator Telman arrived shortly upon LPA’s arrival. Two (2) residents are currently on hospice. LPA conducted a physical tour of the facility. A walkway to the front door is the main entrance into the facility. The facility consists of a Living room, dining area, kitchen, a library and activity area, four bedrooms (two private and two shared), a locked staff room, and a locked garage. The laundry area and supplies are kept in the locked garage. The resident records and staff records are kept in a locked kitchen cabinet. First Aid kit(s) and medications are kept in a locked cabinet located in the kitchen. LPA observed smoke detectors and carbon monoxide detectors are hard-wired and directly connected with the local fire department. Fire extinguishers were serviced on 7/25/2025. Emergency food, water, and emergency PPE gear is kept in the locked garage. Please continue to 809-C, Pg 2. Bedrooms 1 and 2 are shared bedrooms with private bathrooms and a fire clearance exit for bedridden residents. Bedrooms 3 and 4 are private bedrooms. There is a bathroom off the hallway near Bedrooms 3 and 4. All residents have access to the bathroom off the hallway near Bedrooms 3 and 4. Bathrooms have no skid floors and secure grab bars. Each bedridden bedroom has an exit/entrance door leading to the outdoor areas. Each exit/entrance door has a functioning door alarm. The laundry area and storage area for cleaning agents and chemicals is located in the locked garage. The backyard consists of an umbrella, a patio area with chairs and tables, and a pool area with a wrought iron fence and two locked gates. The pool area is inaccessible to residents in care without staff supervision. The patio has built-in garden planters and walkways. The trash, recycling, and green waste cans are standardized cans located outside the facility. There is a hard-wired dual carbon monoxide detector and smoke alarm system in every bedroom and in the hallways. Residents’ records were reviewed. Admission agreements, needs and services plans, health screenings, and emergency contact information was on file and up to date for each resident. Medications are administered per Doctor’s orders. Residents participate at will in various activities based on their individual interests and preferences such as reading and puzzle activities and outings to local parks, eateries, and retail businesses. Administrator’s certificate is current. Staff records reviewed with all trainings, health screenings, and personnel documents are current. All staff have received a criminal background clearance and are associated to the facility. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.