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25 | Licensing Program Analyst (LPA) Ashley Smith arrived unannounced for a Plan of Correction visit, for the purposes of observing whether the corrections were made from the 12/06/2022 visit. The LPA met with Jennifer Guevarra Fernandez and explained the reason for the visit.
During the physical plant tour, the LPA observed the following:
- One smoke detector is still chirping. However, Administrator Justin Levi sent confirmation that new smoke detectors were purchased 12/13/2022. Staff Fernandez indicated that they came within the last wee to fix them. Smoke detectors registering as operable but there is still an electrical issue.
- The handle on the exit sliding glass door leading out of Bedroom #1 was replaced
- The door to Bedroom #2 closed properly
- No chemicals or medications accessible during the visit. Photos of locked medications and chemicals were sent to CCL prior to this visit.
- Staff room was locked. The latch on the staff door was removed.
- There were no obstructions or hazards observed during the visit.
- Sliding glass door leading to the backyard was in operable condition at the time of the visit
- No leak observed in the bathroom
- The makeshift room attached to the kitchen/dining room was cleared out. It was refurnished as a seating area for staff, residents, and visitors.
- Garage door was locked.
- Additional Statement of Understanding/Plan of Action obtained during today's visit.
No additional citations issued, as the smoke detector issue appears to be an ongoing issue that requires further attention. Exit interview conducted. A copy of the report was issued. |