Facility Evaluation Report

On 06/16/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Anastasiia Kontsemal and explained the purpose of the visit.

LPA and Administrator conducted a tour of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, common areas, laundry room and garage . LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, cleaning supplies and knives are locked and inaccessible to residents in care. Hot water temperature was measured at 112.2 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed drill logs. LPA observed required Licensing posters posted throughout the facility.

LPA reviewed five (5) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed one (1) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of the report and LIC809G was left at the facility.