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25 | On 2/21/24 at 11:00 AM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Jeffrey Tong, Administrator and explained the purpose of the visit. The facility’s fire clearance was approved for 58.
LPA toured the facility including but not limited to residents’ bedrooms, bathrooms, activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F. The hot water temperature in a shared residents' bathroom was measured at 106.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.
Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 8/15/23. Emergency Disaster Plan was last posted on 11/06/23. First aid kit was observed to be complete.
LPA reviewed 5 residents records and 5 staff records and all were complete. LPA also reviewed a sample of resident’s medications.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. |