Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit at 10am. Upon arrival LPA met with Administrator Rimma Gordon and explained the reason for the visit.

At approximately 10:30am, tour of the physical plant was conducted. The facility has seven (7) bedrooms and eight (8) bathrooms currently occupying (6) residents in six (6) private bedrooms. One (1) bedroom and one (1) bathroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, Hospice waiver for four (4).

Living and dining room furniture were also checked. Dining room furniture were observed to be in good condition and appeared to be relatively clean. LPA observed (1) resident having breakfast in the dining room. The facility maintains a comfortable temperature. The smoke detectors are hardwired and inter connected and observed to be operational. The fire extinguishers were fully charged and last serviced on 01/20/2023.

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 the medication cabinet located next to the laundry area to be locked and inaccessible to residents. First aid kit is observed to be inaccessible to residents in care complete with tools and supplies.

There is a dedicated area for the posting of required documents directly by the main entrance and hallway. The common areas were observed to be properly furnished and relatively clean at the of the visit. LPA observed appropriate signage regarding infection control posted throughout the facility. LPA observed sanitizer readily available in areas with high touch surfaces