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25 | On 11/07/2024 around 11:45 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a 10-day complaint investigation for the above allegations. LPA met with Care Staff Gina White, and Nicholas Marcelo. LPA delivered the findings of the complaint to Katelyn Salvador Administrator (ADM) and explained the purpose for the visit.
Upon arrival, LPA observed one (1) Care Staff attending to the facility, and one (1) resident was sleeping. LPA toured the facility with the two Care Staff. The areas included but were not limited to the common areas, bedrooms, dining room, bathrooms, kitchen, garage, and backyard. The facility consists of two levels and the residents are on both floors. All outdoor and indoor passageways were free of obstruction. There were no bodies of water present. A comfortable temperature was maintained at 72 degrees Fahrenheit (F). LPA observed lighting in all areas to be adequate for the comfort and safety of the residents. The hot water temperature in the shared restroom on the 1st floor was measured at 109.8 degrees (F). The shared restroom had paper towels, soap and garbage cans; all areas were safe and sanitary. PPE, sanitizer, and paper goods remain sufficient. There is a 2-day supply of perishable foods and a 7-day supply of non-perishable foods.
Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was observed full and serviced 10/17/24. Emergency Disaster Plan is updated. Safety drills are rotational between months and last conducted 10/23/24. LPA reviewed four (4) client files, and three (3) staff files.
Exit interview conducted and a copy of this report provided to Katelyn Salvador, Administrator.
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