1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 12:00pm. LPA met with Executive Director, Kirsten Korfhage and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden.
At 3:10pm, LPA toured facility with Executive Director, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 115.2 and 110.3 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 36 degrees F and freezer temperature is maintained at -13 degrees F.
Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 10/14/2023 . Emergency Disaster Plan was last posted on 10/20/2023. First aid kit was observed to be complete. Fire drill was last conducted on 12/27/2023.
At 12:40pm, LPA reviewed 5 residents records. At 3:25pm, LPA reviewed 5 staff records and 5 of 5 staff are fingerprint cleared.
REPORT CONTINUES ON 809C |