Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility administrator Dina Lucaciu after stating the purpose of the visit.

There are currently four residents in care, two of which are receiving hospice care at this time. LPA observed residents relaxing in the facility's common living areas or in their respective bedrooms as well as receiving toileting care or hospice care during the visit. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has six private rooms along with one locked staff room. There are two shared bathrooms accessed in the hallways as well as multiple en-suite full and half bathrooms throughout the facility.

Bedrooms appear clean and sanitary. One resident is currently using full length rails for postural support. Hospice plan of care reviewed and verified to include an order for the support. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary. Hot water temperature measured at 110F in two bathrooms with faucets used for personal grooming.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning products and the medication central storage all verified to be secured. The mounted fire extinguisher is charged, with up-to-date maintenance receipts present. LPA tested the smoke and carbon monoxide detectors which were found to be operational. The attached garage is inaccessible to residents and used for laundry as well as additional storage of food and supplies.