Routine inspection·March 11, 2026

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit. LPA met with administrator Raimonda Banakiene and explained the reason for the visit. Beginning at 11:28 a.m., LPA conducted a tour of the physical plant with the Administrator. The following was noted: Facility is a single-story residence that consists of six (6) resident bedrooms and two (2) bathrooms. The LPA observed (1) fully charged fire extinguisher that was purchased on 01/18/2026. Hardwired smoke alarms and carbon monoxide detectors were tested at 01:28 p.m. and functioned properly. Bedrooms: The resident bedrooms were properly furnished with a chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: LPA observed all bathrooms clean, properly supplied and had functional fixtures. The LPA observed grab bars and slip resistant surfaces in all bathrooms. Residents have sufficient amounts of supplies for personal hygiene. Hot water temperature was measured and was within the required range. Kitchen : The kitchen appeared clean and the appliances and fixtures functional. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Knives are stored in the locked medication closet near the front entry. Common Areas: These included a living room, family room, and dining area. These areas were properly furnished and functional for residents. The facility maintained a comfortable temperature. There is a hall closet which contained linens and hygiene supplies. Required postings were observed in the common area. (Continued on LIC809-C) Garage: The locked garage had a washer and dryer, cleaning supplies, PPE, and some additional food. Surrounding Grounds (Outdoors) : There was a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises. All passageways were observed to be clear. File review: Beginning at 11:50 a.m., LPA reviewed all six (6) residents' files; all files were complete. LPA reviewed five (5) staff files and the administrator's file. All staff are fingerprint cleared and associated to the facility. All staff have their health screenings, training and other personnel records. Infection Control and Emergency Disaster Plan: LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly with all staff, with the last documented drill on 12/03/2025. Emergency disaster plan was observed to be complete. Medications: Medications are stored locked in an entry way closet. LPA reviewed the centrally stored medication and destruction records (CSMDR) beginning at 02:15 p.m. LPA reviewed medications which were properly documented on the CSMDR and appear to be given as prescribed. No deficiencies observed. Exit interview conducted and copy of the report provided to Administrator.