Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Administrator Designee, Sabinel Bancu and caregiver, Floarea Bancu. Administrator, Albert Bancu, arrived around 11:00 am. The facility is licensed for (6)non-ambulatory or bedridden residents and has a hospice waiver for (6). Currently, there are (2) residents on hospice.

LPA and Administrator toured the interior/exterior of the facility including the common areas, (2) shared resident bedrooms, (2) private resident bedrooms, (2) resident bathrooms, (1) staff/visitor bathroom, kitchen, and garage/locked laundry area. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have grab bars, non-skid flooring, shower chair and hand-washing supplies. There are sufficient linens/towels/blankets/PPE and 2+day perishable and 7+day non-perishable food on hand. Sharps are locked in the kitchen, medications are secured nearby and toxins are locked in the laundry/garage area. The inside temperature measured 78*F. Hot water measured 120+*F in a resident bathroom and kitchen. Smoke monoxide alarms are working and the fire extinguisher was last serviced 6/27/2025. Each resident room has its own exit door with an alarm. There is (1) internet device (tablet) for resident use. There is (1) unlocked gate, a covered gazebo, and a fountain/pond enclosed by a 3- foot fence. There are no pools.

LPA reviewed (2) resident files and (2) staff files. Files were organized and contained the required and current documentation. Medications and orders were reviewed for (2) residents- no discrepancies noted. Staff have current First Aid/CPR and have completed the required yearly training. Administrator certificate #7005656740 (exp 9/6/26). Updated paperwork to be added to the Plan of Operations reflecting Dementia regulation changes in 2025. Other topic discussed. LIC308/500 and updated insurance due by 9/12/25.

There were no deficiencies observed. Exit interview. Copy of report provided to the Administrator.