Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with administrator Monica Butay and explained the purpose of the visit.

LPA Moleski reviewed two resident files (R1-R2) and five staff files (S1-S5).

LPA Moleski toured the facility with Butay and inspected common areas, the kitchen, bedrooms, bathroom, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility's temperature was 75 degrees Fahrenheit, which is within the required 68 and 85 degree range.

LPA Moleski observed a first aid kit, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day perishable supply of food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed a locked closet for the storage of cleaning solutions. LPA Moleski observed a locked cabinet for the storage of knives.

LPA Moleski interviewed R1, R2, S2, and S3.

No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was left with Butay.