Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with staff, Rodica Herlea. Also present was staff, Lucia Wint. LPA observed (2) residents in the common area and (3) residents in their rooms. Administrator Designee, Carmen Bujor, arrived at 10:30 am as the Administrator had an appointment previously scheduled. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver approved for (2) residents. Currently there are no residents on hospice.

LPA and Administrator toured the interior/exterior of the facility including the common areas, three (3) shared residents bedrooms, caregiver bedroom, two (2) bathrooms, laundry room, and garage. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+ day perishable, including fresh produce, and 7+ day non-perishable supply of food. Sharps and toxins are locked in the kitchen. The inside temperature measured 71*F and hot water measured 105*F in the kitchen. Medications are secured near the kitchen. Smoke/monoxide alarms are working and the extinguisher was last serviced 6/5/2024. There are sufficient linens/towels/blankets and complete PPE cart. All exit doors have auditory devices. There is an approved safe dispersal area in the backyard. There is a complete First Aid kit. All required postings are visible in the common area. Annual fees are current. LPA obtained current copy of insurance, LIC308 and LIC500.

LPA reviewed (2) resident files - files were organized with current documentation. Medications were reviewed for (1) resident- orders matched medications being administered and documentation is current. (2) of (4) staff files were reviewed Staff have completed the required initial/annual training, First Aid/CPR certifications, and are cleared/associated. Discussed recent updates to regulations effective 1/1/25, and the Plan of Operations has been updated. There were no deficiencies observed. Exit interview. Copy of report provided.