Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. LPA met with Asel Telman, Administrator and explained the purpose of the visit. The facility is a one-story Residential Care Facility for the Elderly (RCFE) and accepts residents with a dementia diagnosis. The facility is licensed for a capacity of six non-ambulatory residents of which 2 residents may be bedridden. The home has a hospice waiver for six residents.

There are currently 6 residents residing in the facility. Upon arrival, there were five residents in care with two care staff on duty. Administrator Telman arrived shortly upon LPA’s arrival. Two (2) residents are currently on hospice.

LPA conducted a physical tour of the facility. A walkway to the front door is the main entrance into the facility. The facility consists of a Living room, dining area, kitchen, a library and activity area, four bedrooms (two private and two shared), a locked staff room, and a locked garage. The laundry area and supplies are kept in the locked garage.

The resident records and staff records are kept in a locked kitchen cabinet. First Aid kit(s) and medications are kept in a locked cabinet located in the kitchen. LPA observed smoke detectors and carbon monoxide detectors are hard-wired and directly connected with the local fire department. Fire extinguishers were serviced on 7/25/2025.

Emergency food, water, and emergency PPE gear is kept in the locked garage.