Facility Evaluation Report

Licensing Program Analyst (LPA) Christine (Dolores) Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator (ADM), Lilian Bufi.

Upon arrival to the facility, there was 1 resident present with 2 staff members. 1 out of 2 staff members was off duty who assisted LPA with a tour while waiting for the ADM to arrive. LPA toured the facility with staff to include the entrance, dining room, living room, kitchen, 4 resident bedrooms, 2 bathrooms, garage, and backyard. Facility temperature maintained at 70 degrees Fahrenheit. Facility has carbon monoxide detector and smoke alarm present. Fire extinguisher last serviced on 01/07/2025. All fire exit routes are free and clear of obstruction. All present staff are fingerprint cleared and associated to the facility.

4 out of 4 resident bedrooms observed well-kept and no observation of foul order. Bedrooms observed with proper furniture, linens, adequate lighting and functional sliding doors. Bathrooms observed well-kept. Shower contains non-slip floors and grab bars. The hot water temperature measured in a resident's private bathroom measured at 111.0 degrees F and the hallway bathroom measured at 112 degrees F.

Medication, disinfectants, and cleaning solutions observed locked. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature in the kitchen maintained at 34 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. PRN medication observed inside a locked box inside the refrigerator. Page 1 of 2.