Facility Evaluation Report

On 10/1/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct the required Annual Inspection. Upon arrival, LPA was greeted by the Caregiver Shela Ferencz, who granted access to the facility. LPA explained the reason for the visit. Facility Administrator Kesha Richardson arrived shortly after. LPA Khurshudyan reviewed the required postings on the hallway next to the entrance area and requested staff and residents’ rosters for review.

The inspection tool was used to complete the visit.

At 12:00pm LPA, with the help of the Caregiver, began a physical plant tour of the facility and the following was observed: This is a single-story building with seven (7) bedrooms, of which six (6) bedrooms are designated for residents’ private use, and one (1) office/staff room. There are three (3) bathrooms, a kitchen, common areas: living and dining rooms, and an outdoor area. Facility has an approved fire clearance for six (6) Non-ambulatory residents, of which one (1) can be bedridden in rooms #2,3,4, and a Hospice waiver approval for six (6) residents.

Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps inside the locked kitchen cabinet. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed two (2) fire extinguishers throughout the facility. The fire extinguishers were last serviced on 9/19/2024, LPA was informed that new service date is already scheduled for the following week. A weekly menu was also available for residents. The second refrigerator was also available in the garage for additional food supply. Dish soap and other chemicals were properly stored and locked inside separate closet located in the hallway.