Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Co-Administrator Nonna Rozhko and stated the purpose of the visit. There are five (5) residents in care and Co-Administrator was on duty. Administrator Inna Lyutko arrived shortly thereafter.

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 three hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there are two 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 and 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, doors, ceilings, floors and floor coverings were checked. Smoke alarms and carbon monoxide alarms are in good working order. The facility was seen to be in good repair inside and outside.

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. 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.