Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived to this facility today to conduct a One (1) year Required inspection of this facility with emphasis on infection control practices and procedures. Upon arrival, LPA met with Administrator Rimma Gordon and explained the reason for the visit.

At approximately 1:30pm, tour of the physical plant was conducted with Ms. Gordon. The facility has seven (7) bedrooms and eight (8) bathrooms currently occupying (6) residents on six (6) private bedrooms. One (1) bedroom and one (1) bathroom is designated for the staff use. The facility is fire cleared for six (6) non-ambulatory residents, Hospice waiver for four (4).

Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, the following was noted:

Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 73°F. The smoke detectors / combo carbon monoxide detectors were tested and observed to be operational. The fire extinguishers appeared to be fully charged and last serviced on January 2022.

Food Service/Kitchen area was sufficiently stocked with perishable and non-perishable food properly stored. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be kept in a locked drawer to the left of the sink. LPA observed medication in the kitchen cabinet to be locked and inaccessible to residents. First aid kit is observed to be complete with tools and supplies.