Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Rebekah Ramirez, and explained the reason for the visit. The administrator could not be present for the annual, but the licensee/owner, Vladislav Blitshteyn.

At approximately 9:25am, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are dual and interconnected. There are two fire extinguishers. One is located in the kitchen, and the other is located at the hallway by resident room #6.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer in the kitchen. LPA did no observe any cleaning supplies out and accessible in the kitchen.

Bedrooms: There are seven (7) bedrooms. Six (6) of the bedrooms designated for residents' use are private. One (1) room is designated for staff. The bedrooms designated for the residents use were observed to be properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are three (3) bathrooms designated for the residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 111 and 112 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection.

Common Areas : These included the living room and dining area. The living room has sufficient seating of a