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32 | OUTDOOR SPACE: At 9:59 a.m., the LPA observed the back patio. There are bodies of water on the premises at the time of the visit, but the pool is fenced and locked. The pool is drained however due to recent rain, water has accumulated. Laundry units, cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside the locked garage. There is one (1) gate on the side of the house designated for an emergency exit. Passageways were free and clear from obstruction.
COMMON AREAS: The LPA observed common areas to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced on 10/12/2023. At 10:15 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.
RECORD REVIEWS: Starting at 9:55 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. All files were in order. 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.
At approximately 10:56 a.m., the LPAs conducted a review of medication and medication documentation with staff for five (5) residents.
No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued. |