Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. At the time of arrival, there were five (5) residents in care and two (2) staff on duty. Administrator Anton Zamyatin arrived at approximately 12:57 pm. Katerina Zamyatina, Administrator arrived at approximately 1:04 pm.

LPA explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to non-ambulatory residents with a dementia diagnosis. There are two (2) residents currently on hospice.

A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the two-story facility for fire safety, personal accommodations and food service. Three first aid kits were observed to be complete.

The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. Fire inspection was most recently conducted on 2/17/2025. There are seven (7) dual carbon monoxide detectors/smoke alarms throughout the facility all in good working order.

The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean.