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25 | On 5/16/24 at 3:00 p.m., Licensing Program Analysts (LPAs) Greg Clark and A. Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA spoke with Administrator, Debra Pickens and explained the purpose of the visit. Care staff Kiva Potlock arrived and administrator gave permission for care staff to sign the report. The facility’s fire clearance was approved for 4 ambulatory clients.
LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70-degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in residents shared bathroom was measured at 116-degree Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. There is a minimum of one-week supply of non-perishables and 2-day perishables food supply.
Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 4/11/24. First aid kit was observed to be complete. Fire drill was last conducted on 9/04/23.
LPAs reviewed 4 clients’ records and 2 staff records and all were complete. were reviewed and were complete. A sample of 1 client’s medications were reviewed.
No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided. |