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25 | Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was met by Administrator Joseph Washington and was granted entry into the facility.
LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Facility was set at 72 F. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 106 degrees F.
Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching and goes out to an alley.
Fire extinguisher serviced on 10/10/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm and a sprinkler system. Last fire drill conducted 09/09/2024. All cleaning supplies are locked and secured in a closet in the dining room. Medications were locked on a cabinet in staff office bathroom.
Medications were reviewed. Staff files and Resident files were reviewed. CPR/First aid for all staff.
An exit interview was conducted with the Administrator and a copy of this report was provided.
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