Facility Evaluation Report

On 9/15/2025, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Mirra Raxakoul. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area and backyard. LPA observed a small storage shed at the back of the facility. There is currently one resident at the facility. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked. Food supply in kitchen and garage refrigerator was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/ smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill is done every quarter.

Six resident records and three staff records were reviewed. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated.

Administrator will send the Liability Insurance to LPA.

No deficiencies cited today. Report is reviewed and copy is provided.