1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | LPA observed the kitchen area, there was sufficient stock of one week non-perishable foods and two days of perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. LPA observed that sharp objects were stored in a locked drawer inaccessible to residents in care. The kitchen has a working gas stove, microwave, refrigerator, and freezer. Extra emergency food was properly stored inside the storage cabinet. The common areas which include dining and living room appeared clean and were properly furnished. Temperature was comfortable it was measured at 11:00am to be 75°F. No obstructions and or tripping hazards throughout the facility found.
The Facility has one (1) fire extinguishers, LPA observed it was last purchased on 02/02/2024. Laundry
machines are located in the kitchen area. LPA observed all chemicals and detergents are kept locked and
inaccessible to residents in care. Kitchen chemicals are locked under the sink, and other chemicals are locked in the garage. Smoke detectors and carbon monoxide monitors were tested at 1:30pm and observed to be functional. LPA observed a clean and comfortable covered patio and backyard furniture to accommodate the six (6) residents. Exit doors were unlocked and free of obstructions. LPA checked inside of the locked shed it was used for facility tools and maintenance purposes. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. The facility does not have a swimming pool or body of water. The garage is used for extra storage and had cabinets stored with emergency food.
Between 11:45am to 2:30pm, LPA reviewed records and files of six (6) residents and three (3)
staff/caregivers. A review of staff and resident records appeared to be complete. Resident’s files contain a
signed admission agreements and a medical assessment, and all other required documentarians. A review of
staff records indicates that all facility staff and who required caregiver background checks have received
criminal record clearances. There are no residents with prohibited conditions residing at the facility.
At approximately 1:35pm to 2:00pm LPA observed each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. All medications are properly labeled and checked for expiration dates. The facility has a separate locked refrigerator for cold medications.
First-aid has all proper items and is current.
LPA collected LIC500, LIC9020, Copy of the Liability Insurance and the Infection Control.
Facility is in compliance with Title 22 Regulations at this time. No citations issued during this visit.
Exit interview conducted and copy of this report signed and delivered to the Administrator.
|