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25 | On 3/20/2025 at 11:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Niare Feaster and explained the purpose of the visit. The facility’s fire clearance was approved for 82 non-ambulatory and 28 ambulatory on the third floor.
LPA toured the facility with Niare Feaster including but not limited to 5 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at xxx degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 104.8, 112.6, 109.2, 108.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Refrigerator temperature: 38 Freezer temperature:0 There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.
Emergency disaster plan last reviewed 3/10/2025. First aid kit observed to be complete. Fire Extinguishers scheduled for service 3/8/2024.
At 12:30pm, LPA reviewed 5 residents records. At 1:00pm, LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. At 11:45am, LPA reviewed a sample of resident’s medications.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. |