Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to staff Zoltan Kiss. Administrator Adriana Kiss arrived shortly after. There are currently zero (0) 4 elderly residents in care. Twelve 12 (CARE) tool domains were utilized during the inspection.

Infection control practices and Personal Protective Equipment (PPEs) were observed. Staff are no longer wearing masks or screening visitors. A visitor sign-in station is still in place. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan.

A current Plan of Operation was reviewed.

The facility has a Dementia Waiver in place. A Hospice Waiver for one (1) is approved.

Facility has a fire clearance for 6 non-ambulatory adults 60 and over, of which one (1) may be bedridden.

Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate expired 7/13/2023. Licensee has not renewed policy since there are zero (0) residents in care.

A surety bond is not applicable. Facility does not handle resident's money.