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25 | On 12/27/2024 at 9:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a Required Annual Inspection. Upon entry into the facility, the LPA informed Administrator Telesha Clarke of the purpose of the visit.
The LPA toured the facility inside and outside. The LPA inspected the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. No body of water was on the facility grounds. Medications are centrally stored. Bathrooms and showers were observed to be fully functioning and clean. The hot water temperature in the kitchen was 116.4 degrees Fahrenheit. The room temperature of the dining room was 73.3 degrees Fahrenheit. Carbon monoxide and smoke detectors were operational. The fire extinguisher was last serviced on 3/21/2024. The LPA observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. Toxins and sharp objects were locked and inaccessible to participants.
LPA reviewed 5 of 6 resident records and 3 of 3 staff records. All were complete.
By 1/14/2025, Administrator will send to LPA:
- Proof of liability insurance
- Updated LIC 610E Emergency / Disaster Plan (RCFE)
- Updated LIC 308 Designation of Facility Responsibility
No citations issued.
Exit interview conducted and a copy of this report provided. |