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25 | On 11/07/2024, Licensing Program Analyst (LPA) M Medina conduced an unannounced Annual Required inspection. LPA arrived, introduced self, stated purpose of visit and allowed entrance by Direct Care Staff. Licensee/Administrator contacted by telephone and was not available to conduct facility inspection. LPA conducted facility tour with Gemma Jones, Lead Care Staff.
Currently, there are six (6) residents in care. All were present at time of inspection. LPA observed facility to be clean, odor free, and a comfortable temperature. Facility is 4 bedrooms and 2 bathroom, there are 2 shared room and 2 private bedrooms.
Facility tour conducted with Lead Care Staff. All common areas have adequate seating available for all residents in care. Kitchen toured, LPA observed facility to have a 2-day supply of perishable and a 7-day of non-perishable food available. LPA observed all food to be properly stored and dated. LPA observed stove knobs to be removed and secured. All knives and sharps were also observed to be locked and secured. All resident bedrooms toured, bedrooms observed to have all required accommodations available. Resident bathrooms toured. LPA observed fixtures to be operational during inspection. LPA observed grab bars, non-skid mats, and grab bars in the shower/tub areas, as well as near toilets. Water temperature measured at 116 degrees F. Medications observed to be locked and secured. LPA observed medications to have original labels and to be administered as prescribed.
Cleaning supplies observed to be locked and secured in cabinets in garage, as well as in laundry room which is locked and secured. Fire extinguishers present with a service date of 11/27/2023. Carbon monoxide detectors and smoke detectors observed operational at time of inspection.
Outside of facility toured. All exits open free of obstruction. No hazards observed.
Resident and staff files reviewed. A copy of this signed report will be provided to Licensee via e-mail for their records.
No deficiencies cited. |