| Licensing Program Analysts (LPA)'s Shawna Doucette and Brianna Miranda arrived at the facility unannounced to conduct the Required Annual Inspection. LPA's were granted entry by Staff Darlene Ruano. Staff contacted the Administrator who responded to the facility to assist with the visit. LPA's met with Administrator Ramona Eleco.
A tour of the facility was conducted with the Administrator.
Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Facility does not have menus for special/modified diets for residents who require a modified diet. Facility does not have documentation of a dietician/nutritionist preparing facility menus. LPA's observed the community bathroom to be dirty with a loofah in the community shower. LPA's observed mold under the bathroom sink. LPA's took photos.
A tour of the outside was conducted by LPA Miranda who observed the south side fence to be broken and tree branches on the ground. There was outdoor seating for the residents.
Resident and staff records were reviewed. Current first aid and CPR were reviewed. Facility does not have hoyer lift training for staff on PM shift. Facility does not have training for restricted health care condition for R3. R4 does not have correct LIC602, and does not specify if the resident has dementia. R6 diagnosis from hospice does not match LIC602 diagnosis. Reappraisal was not completed for R6. No staff training for bedridden residents for PM shift staff. LPA obtained a copy of staff schedule.
Due to time constraints, LPA's will return at a later date to complete the annual inspection.
A copy of this report was provided to the Administrator via email. |