Facility Evaluation Report

On this day Licensing Program Analysts (LPAs) Rose Ruppert and Fred Arias made an unannounced visit to conduct a required annual visit. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 6 clients. The home currently has 6 clients. Administrator (AD) Maxine Kniazeff arrived shortly to conduct facility tour. AD Kniazeff has a valid certificate that expires on 7/28/2026. AD provided updated liability insurance that expires on 1/31/2025.

LPAs along with staff member June toured the facility at 8:40 AM. LPAs toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 6 client bedrooms, living room, dining room, and kitchen as well as 3 restrooms. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were functioning and shower was free of mold/mildew. Water temperature measured between 105.9 degrees F and 106.7 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPAs toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPAs reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts monthly emergency drills with the last drill conducted on 12/5/2024. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Gate latches on both sides of the facility were found not functional. The glass panel window by restroom 1 was found to be cracked. First aid kit contained all required items including tweezers, scissors and thermometer. There is shaded outdoor seating for clients. Exit gates are unlocked. LPAs observed the emergency food and water supply. LPAs reviewed 6 client files and 3 staff files.