Facility Evaluation Report

At 09:30am, Licensing Program Analyst (LPA) Angela Panushkina conducted a Pre-Licensing Inspection with the facility Administrator, Arnida Obrinalla. This is a Change of Ownership Application from facility #197610243 to #197610651 to operate a Residential Care Facility for Elderly (RCFE). A Change in Ownership (CHOW) Application to operate a RCFE was received by Community Care Licensing (CCL) on November 23 rd , 2024. A fire clearance was approved on April 16 th , 2024, for six (6) Non-ambulatory residents for a total capacity of six (6).

A tour of the physical plant was initiated at approximately 09:40am and the following was observed:

KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, gas stove, microwave oven and sink. There were adequate supplies of two (2) days of perishable and seven (7) days of nonperishable food, dining ware to accommodate a maximum capacity of six (6) residents. Knives and other sharps were observed locked under the kitchen sink and under stove cabinet. The fire extinguisher was located by the laundry/kitchen area and was last serviced on 11/21/23.

MEDICATIONS: The medications are kept in a cabinet located by the kitchen entrance. At approximately 09:45am LPA observed each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. All medications are properly labeled and checked for expiration dates. First Aid and the new manual is also locked in the cabinet. LPA observed the First-aid has all proper items and is current.

OFFICE: Office is located by the kitchen area and has an exit door with properly functioning auditory alarm. LPA also observed an extra refrigerator with extra food available. All staff and residents files are kept in a locked file cabinet. Continue on LIC809-C