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25 | On 01/19/2024, Licensing Program Analyst (LPA) V. Gorban 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. LPA toured facility with staff Carlos Cabigao. Administrator (AD) Sophat Yin was notified of Licensing visit and was able to attend the visit. AD certification number 6033549740 and expiration date 05/08/2024.
Facility has one entrance/exit point. LPA toured facility with Administrator inside and out. The facility was observed to be at a comfortable temperature, of 78 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 some residents in common area after breakfast watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility.
Inspecting 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.
Fire extinguisher was observed with a service date of 07/12/2023. All 6 residents’ bedrooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 108 degrees F.
Medications observed to be locked in a cabinet in the kitchen. LPA reviewed medication records appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An outdoor seating area was observed operational for residents in care.
LPA reviewed Staff and Resident files. Resident files observed to have updated information.
No deficiencies were observed and cited.
Exit interview conducted, report was signed and copy of this report provided for facility records. |