Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. Upon arrival, LPA met with staff and explained the purpose of the visit. At the time of arrival, there were three (3) staff on duty and six (6) residents in care. Administrator Herbert Perey arrived at approximately 12:50 pm. Co-Administrator Mischelle Perey arrived at approximately 2:03 pm.

The facility is a one-story Residential Care Facility for the Elderly (RCFE). Currently, there are two (2) residents on hospice and three (3) residents are bedridden.

A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the one-story facility for fire safety, personal accommodations, and food service.

The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. There are three (3) fire extinguishers, inspection was current as of 5/14/2024. There are approximately seven (7) dual carbon monoxide alarm/smoke alarms detectors are hard wired and in good working order.

The kitchen area was sufficiently stocked with seven days of non-perishables. LPA observed a minimal amount of fresh vegetables and fresh fruits. Administrator Perey stated the facility recently had a holiday party with approximately 30-35 attendees. Meals served were catered and home-made ethnic dishes. LPA recommended additional fruits and vegetables be on hand, especially after a special event when food has been served. Upon Co-Administrator's arrival at 2:03 pm, Co-Administrator had purchased several fresh vegetables and fresh fruits. Snacks and beverages are readily available for Residents. Frozen foods are properly wrapped and stored appropriately. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean.