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25 | On 4/2/2024 at 10:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Business Office Manager, Jacqueline Scott Garcia and Executive Director, Harmony Venturelli. The facility’s fire clearance was approved for 46 residents, 40 may be non-ambulatory, 6 may bedridden, and 20 residents may be under hospice care.
LPA toured the facility with Jacqueline including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 6/29/2023. Weekly and daily menus were posted in dining areas. Facility is a memory care facility with the exit doors equipped with delayed egress.
One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food twice a week. Freezer’s temperature was registered at -1 degree F while the refrigerator’s temperature was recorded at 37 degrees F. Hot water temperature was measured at 110.5 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Indoor and outdoor passages were free of obstruction.
LPA reviewed 5 resident records and 5 staff records starting at 11:55AM. LPA interviewed 3 residents and 3 staff during inspection. LPA reviewed a sample of resident's medications starting at 4:00PM.
No deficiencies are being cited on this date.
Exit interview conducted with Jacqueline and a copy of this report provided. |