Facility Evaluation Report

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with staff Zhamila Anarkulova. Administrator Renata Guzauskiene notified over the phone. LPA explained the reason for the visit. The facility is licensed for residents age range 60 and over. Approved for 6 non-ambulatory residents. The facility is a single story structure located in a residential neighborhood. It consists of the following: (4) resident bedrooms, (2) residents bathrooms, kitchen, dining room/ living room, laundry area, attached garage which used as a staff room. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard. LPA toured the facility. All indoor and outdoor passageways were free of obstruction. The kitchen was inspected. LPA observed all kitchen equipment to be clean and in working condition. LPA observed sufficient supply of perishable and non-perishable foods. Large scissor, knives/sharps observed unlock in kitchen drawers. Smoke / Carbon monoxide detectors were in compliance and operational. There is (1) fire extinguisher located in the kitchen is fully charged. The common areas are clean and were properly furnished. Resident rooms were sanitary and had the required furniture and furnishings. Medications are centrally stored in a locked cabinet in the kitchen. The resident bathrooms are clean and operational w/grab bars and non-skid surface/mats in place. The hot water temperature was tested in the residents’ bathrooms and measured at 125.2°F and 126.1°F, which were not within the required range of 105°F to 120°F. Laundry detergent and cleaning solutions in the laundry area were observed unlocked.