| Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual visit. LPA was greeted, granted entry by staff and explained the reason for the visit before entering the facility. Staff called Licensee/Administrator (AD) Natalia Surgent who arrived and was present for the remainder of the visit. AD Surgent has a current administrator’s certificate that expires 02/10/26.
Around 9:00am LPA Haley began the tour of the facility with. Right next to the front door is a lock closet used to store staff files, resident files, resident medications, and a first aid kit with all the required elements.
All six clients were present during the visit. All resident bedrooms were clean, well organized, and had all necessary requirements: nightstand, chair, lamp and storage space. Resident bathrooms were clean and organized. Hot water temperature was measured in the range of 109.5 – 111.5 degrees Fahrenheit.
There’s a small office area in the living room with a filing cabinet with files of former employees and former residents. Dominoes and other activity items were observed right behind desk in the office area. There’s a fully charged fire extinguisher mounted on the wall right behind the office area.
The kitchen was clean and organized. All knives and sharp objects were locked in a cabinet near the stove. All burners on the stove were operational. The facility has a two-day supply of perishable food items and seven-day supply of nonperishable food items.
The garage has clear walking paths and is used to store various facility items. Hazardous chemicals are locked in a cabinet in the garage. There’s a laundry area with a washer and dryer, and an additional deep freezer and refrigerator with an additional food supply. An emergency supply of water was observed.
Continued on LIC809C
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