Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Lisa DiBartolo, Administrator Assistant (AA). Licensee Alex Varshavsky was also present. Licensee Administrator certificate 7019479740 expires 7/15/26. Facility currently has thirty one (31) residents in care five (5) of which are currently on hospice.

LPA went over staff associated to facility with AA. Staff (S1) was found to have fingerprint clearance but not associated to the facility ( deficiency cited, see 809D ).

At approximately 9:30am LPA and licensee toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food in the kitchen was found to be stored in a safe manner with open items covered and labeled with opened dates present. Facility has a food storage room. Food storage room there are pesticides and toxins present (deficiency cited, see 809D ). All other cleaning products and laundry soaps are located in the dedicated cleaning closet or laundry room.

All bedrooms were equipped with lighting. Rooms #2, #3, #15, and #17 need a chair and #11 and #12 need another chair as they are a shared room. Rooms #14, #4, #6, #9, needs a chest of drawers and #12 needs another a chest of drawers as it is a shared room ( deficiency cited, see 809D) .

Shower in room #15 and room #4 need a grab bar ( deficiency cited, see 809D) . All other resident bathrooms had required bath mats and grab bars. Facility had common towels present in shared rooms and all but two (2) other resident rooms did not have paper towels present. Per licensee, facility does not keep