Facility Evaluation Report

On 01/15/25 at 9:20 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Vitalina Bezdolna and disclosed the purpose of the visit. The caregiver called the administrator but the administrator could not come to the facility at the time.

LPA asked for the census, resident, and staff files.

A physical tour was conducted at 10:40 AM and observed the following:

The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side, leading to the living/dining room area. It is fully charged. The fire extinguisher was bought 01/30/2024. There is extra, food in the kitchen pantries. The sharps are locked and inaccessible to the residents in one of the top cabinets on your right-hand side. The medication is at the bottom of one of the cabinets locked and inaccessible on your right-hand side of the kitchen. The first aid kit is on the kitchen counter.

The garage is detached from the house. The garage has an extra refrigerator. There is extra incontinence, beds and water in the garage.

Outside/Backyard: The outside/backyard has furniture for residents with proper seating. The facility has a signal system. The facility does have a pool fenced and locked inaccessible to the residents.