Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. LPA arrived at 11 am and was greeted by Administrator Nonna Rozhko, and six (6) residents present. Administrator Inna Lyutko arrived at approximately 11:25 AM. LPA informed Administrator the purpose of the visit.

The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for two hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there are no residents on hospice residing in the facility.

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

The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked. The facility was seen to be in good repair inside and outside. The most recent fire inspection was conducted on 5/23/2023. Smoke alarms and carbon monoxide alarms are in good working order.

The kitchen area was sufficiently stocked with two-day perishable and seven-day non-perishables. Snacks and beverages are available for Residents in the facility upon request. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. LPA observed the sharps are kept in a locked drawer near the stove. The kitchen trash is a covered container located in the kitchen area. Cleaning agents are kept in a locked cabinet under the kitchen sink. Medications are also kept in a locked cabinet located in the kitchen