Facility Evaluation Report

On 02/21/2025 at 9:34 AM, Licensing Program Analysts (LPAs) Melody Brown and Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown and LPA Singh met with Licensee/administrator Mary Libed and was granted entry to the facility. At the time of the visit there were two (2) staff present, and two (2) residents present. LPA Brown and LPA Singh explained the purpose of the visit to Licensee/Administrator Mary Libed.

The facility has 7 bedrooms, in which 5 bedrooms are designated for residents, and 2 bedrooms are designated for staff/family, 2 and 1/2 bathrooms, living room, kitchen, dining area, backyard, and attached garage. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory residents, the current census is two (2) residents. The facility has approved hospice waiver for three (3) residents. LPA Singh was accompanied by Licensee/Administrator to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). The buildings and grounds were free from hazards. Outdoor and indoor passageways were kept free of obstruction. The facility is maintained at a comfortable temperature of 75 degrees F.. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. During the tour of the facility, LPAs observed one window and one door screen in disrepair. Technical violation issued. Also, LPAs observed No night lights maintained in hallways and passageways to non-private bathrooms. Deficiency will be issued.