Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee German Sinitsyn arrived later. Facility currently has twelve (12) residents in care none of which are currently on hospice. Aida Reznik Administrator Certificate 7010118740 expires 4/11/27. All fees are current as of this time.

Upon arrival, LPA observed residents restrained in wheelchairs. LPA obtained photographic and video evidence of restraints. LPA observed resident (R1) in wheelchair with gait belt being used as restraint. Gait belt was fastened and threaded with belt release placed behind resident in back of wheelchair, inaccessible to resident to release. LPA observed resident (R2) in wheelchair with fabric belt wrapped around their chest area and tied in a knot behind their wheelchair, inaccessible to resident to release. LPA observed resident (R3) in wheelchair with velcro fabric belt wrapped twice around their chest area and back of wheelchair, secured by velcro and the end of the belt tucked into the back right hand side their wheelchair, inaccessible to resident to release ( deficiencies cited, see 809D ).

At approximately 10:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled with opened dates present. LPA observed kitchen cabinet under sink to contain disinfectants and cleaning supplies. Cabinet has magnetic locking mechanism, but lock was malfunctioning at the time of inspection, it was sticking such that when the door closed the lock did not latch. LPA showed malfunction to licensee,