Facility Evaluation Report

On 4/11/23, at 10:42am, Licensing Program Analyst (LPA) Felisa Shirley and (LPM) Stephanie Cifuentes arrived to conduct an unannounced Annual Required - 1 Year Inspection and met with Administrator Aaron Khodorkovsky. LPA disclosed the purpose of the inspection was granted entry into facility by the Licensee. The current census is 102.

Walk through inspection was conducted by LPA, LPM and Licensee inside and outside to ensure that there are no health and safety hazards.

The facility consists of 53 shared bedrooms with attached half baths, men and women’s shower rooms, medication room, housekeeper break room, dining room, kitchen, two staff bathrooms, laundry room, cleaning supplies room, TV room, Administrators office, conference room, three outside patios and a parking lot.

KITCHEN: LPA and LPM observed the kitchen to be clean, sanitary and all appliances were operable. The facility has a sufficient supply of perishable and non-perishable foods. The pantry, refrigerator, and freezer were well stocked.

DINING ROOM: LPA Shirley, LPM Cifuentes and Licensee inspected the dining room and found it to be clean and all the furniture was in good working order. There were adequate number of chairs and table space for all residents in the facility.

LPA, LPM and Licensee inspected the laundry room and supply rooms, there was an ample amount of locked cleaning supplies and PPE observed. Activity storage area, linen closet and supply closet inspected and within regulation.