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25 | Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on 10/28/24 to conduct the annual inspection.
During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Administrator Jose Santos toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed.
LPA reviewed resident (3) and staff files (2). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. Staff training contained the required initial training.
LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month.
Exit interview conducted. A copy of this report was printed and given to Administrator. |