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25 | Licensing Program Analyst (LPA) Angelica Boyles made an unannounced visit to conduct the required One-Year Inspection. LPA was granted entry into the facility by Evelyn Ramirez, House Manager, after identifying herself and stating the purpose of the inspection. The facility serves 18 elderly residents, age 60 and above, all whom may be non-ambulatory.
During today’s visit, LPA performed a welfare check on all residents in care, interviewed facility staff, and reviewed records of residents and staff. LPA, accompanied by House Manager, toured the interior and exterior of the facility, and inspected all common areas and client bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.
There were no sharp objects, toxic chemicals/poisons, active fireplaces, or open-faced heaters accessible to clients. The facility had a pool on the premises which had a locked fence in good repair and is designed to surround the pool and may not be removed. Medications were labeled, as required, and stored in locked areas. Confidential records were stored in locked areas. Per the Licensee, no firearms or ammunition are kept at the facility. Fire detection system, carbon monoxide detector, night lights, and facility telephone were all working. The facility’s fire extinguisher was serviced within the last twelve (12) months. Required licensing postings were observed in visible areas of the facility.
LPA reviewed multiple staff records/files and interviewed staff and residents. The interviews did not raise any immediate health and safety concerns. The reviewed files contained all required documents. LPA also conducted a review of In-service training procedures.
[Continued on 809-C] |