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25 | On 02/01/2024 at 8:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Administrator, Aurelia S. Muntean and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory.
LPA toured facility with Aurelia 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 observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.
Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/10/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/31/2024. Emergency Disaster plan last updated 1/10/2025
At 9:06 AM, LPA reviewed 4 of 4 residents records. At 9:35 AM, LPA reviewed 3 staff records and 3 of 3 have current first aid training and are associated to the facility.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. |