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25 | On 1/03/24 Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Rex Deocales, Care Staff and explained the purpose of the visit. The facility’s fire clearance was approved for 5 residents.
LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms of which 2 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff and 1 is vacant. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.
Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 9/15/23. Emergency Disaster Plan was last posted on 8/21/23. First aid kit was observed to be complete.
LPA reviewed 3 residents records and all were complete. LPA also reviewed a sample of resident’s medications.
Due to the administrator being unavailable LPA will return at a later date to complete inspection.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
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