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25 | On 11/26/2024, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Staff 1 (S1). Administrator (AD) Shay Ayers was notified of Licensing visit over the phone and was able to attend the visit. AD certification number 6033549740. LPA toured facility with AD Shay Ayers
The facility was observed to be at a comfortable temperature, of 71 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed most residents in common area after lunch playing bingo, others in their rooms resting. Department phone number and infection prevention information signs were posted in facility.
LPA toured facility with Administrator outside. LPA observed pool in the back yard, fenced and the pool gate was locked. Outdoor seating area was observed in good repair and available to residents.
Fire extinguisher was observed with a service date of 07/22/2024. All 6 residents’ bedrooms were observed to be with comfortable temperature. Kitchen water temperature was tested and recorded reading of 117.6 degrees F.
Medications observed to be locked in closet near front entry to facility. LPA reviewed medication records maintained and accurate as of inspection. Cleaning supplies were observed to be in a locked and inaccessible to residents cabinet in garage. Kitchen LPA observed the required 7 day supply of non-perishable food and 2 day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.
Continued on LIC 809C |