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25 | Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required/infection control inspection. LPA met with staff, Leticia Iroy and Dioscoro Iroy, and informed the purpose of LPA's visit. LPA called and spoke with Juliana Taburaza, administrator. Juliana Taburaza authorized Leticia Iroy to be with LPA during inspection and receive this report.
LPA toured the facility inside and out with Leticia Iroy. LPA inspected the living room, dining area, kitchen, resident rooms, bathrooms, side yard and backyard. Medications are centrally stored in a locked area that is inaccessible to residents and refilled every 30 days. LPA observed food supplies for 2 days of perishables and 7 days of non-perishables,
LPA observed COVID-19 signage all throughout the facility. Facility has hand sanitizer, masks and gloves available for visitors located inside near visitor's entrance door. Facility has visitor's log. Personal protective equipments (PPEs) inspected. Facility has a copy of approved LIC808 Mitigation Plan on file.
Hot water temperature in one of the bathrooms was tested and measured at 115.5 degrees Fahrenheit. Facility has working smoke and carbon monoxide detectors. Fire extinguishers checked, observed fully charge with tags showed serviced October 19, 2020.
Administrator to submit the following updated documents by August 4, 2021:
1. Proof of $3M liability insurance coverage
2, LIC500 Personnel Report
3. LIC610E Emergency Disaster Plan
4. Copy of surety bond coverage
......continued on 809C |