Facility Evaluation Report

On May 13, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Agoston Vass was notified via telephone but could not assist with today's inspection. LPA observed that Agoston Vass has a valid Administrator certificate which expires on July 2, 2025.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for five. The facility is a two story home with three resident bedrooms, one of which is shared, one resident bathroom, a living room, a dining room, a kitchen, and an attached two car garage. LPA, accompanied by a caregiver conducted a tour of the interior portion of the facility. On today's visit, LPA observed three residents in care and one staff present. LPA observed residents relaxing in their respective bedrooms and in common areas. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. All resident bedrooms and the resident bathroom is located on the first floor of the facility. LPA inspected the three resident bedrooms and they were observed to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds had clean linens and blankets. LPA observed additional linens to be stored in a hallway cabinet. LPA inspected the one resident bathroom. Resident bathroom was clean. Resident bathrooms were equipped with grab bars and non-skid floors. Faucets and toilets were operational. Hot water temperature measured 117.3 degrees Fahrenheit. LPA observed the second story of the facility to be for staff use only and off limits to residents in care.