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32 | KITCHEN: The LPAs observed the kitchen and dining area. Knives are stored in an inaccessible kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Food labels were observed for expiration dates. At 10:01 a.m., the kitchen faucet was measured at 111.2 degrees Fahrenheit. Medications are located in a locked cabinet adjacent to the kitchen. A first aid kit is located near the kitchen.
OUTDOOR SPACE: At 9:45 a.m., the LPA observed the back patio which has a covered outdoor area with a table and chairs for resident use. There are two gates on each side of the house designated for an emergency exits. The property is gated. Passageways were free and clear from obstruction. There are no bodies of water on the premises. Laundry units and laundry detergents are located inside the garage, which remains inaccessible to the residents.
COMMON AREAS: The LPAs observed common areas to be relatively clean and properly furnished. The LPAs observed the fire extinguisher to be fully charged and last serviced on 10/12/2023. At 10:02 a.m., fire alarms/carbon monoxide detectors were tested and functioned properly. All exits have functioning auditory devices and were operational at the time of the visit. Facility telephone was observed during the time of the visit. LPAs observed cameras in the common areas, and throughout the exterior perimeter of the facility. Night lights were present in the hallways. Cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside a locked hallway closet.
RECORD REVIEWS: Starting at 9:15 a.m., the LPAs conducted a file review for all residents and staff regularly scheduled and observed the following: Staff have current first aid and training documentation showing required training completed. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. The following was observed: two (2) out of two (2) home health signed written agreements were not present in resident files during the record review. One (1) out of one (1) hospice resident did not have a current and complete hospice care plan maintained at the facility. At 10:40 a.m., the Administrator identified and printed out the above records and placed missing records in resident files. All files were in order. The Administrator’s certificate is active and expires on 01/11/2025. The LPAs requested a copy of valid liability insurance and Facility Emergency Plan and Infection Control Plan. The last emergency disaster drill took place on 03/01/2024.
Continued on LIC-809-C. |