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25 | Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 1:00 p.m., the LPA met with staff and explained the reason for the visit. At 1:13 p.m., the Administrator arrived at the facility. This annual had a specific emphasis on infection control practices and procedures.
At 1:24 p.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. At 1:30 p.m., the LPA observed inoperable auditory devices in resident room #2 and resident room #4. Upon observation, the Administrator fixed all auditory devices throughout the facility. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 1:24 p.m., hot water measured at 112.8-degree Fahrenheit. KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked cabinet. Kitchen appliances appear to be in an operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:31 p.m., hot water measured at 108.7-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen cabinet. Laundry units, cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside the staff/ storage room. COMMON AREA: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and purchased on 04/04/2022. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. At 1:33 p.m., the fire alarms/carbon monoxide detectors were tested and functioned properly. Flashlights were observed throughout the facility. OUTDOOR SPACE: The LPA observed the back patio which has a covered outdoor area for resident use. There is a gate at the front of the facility designated for an emergency exit. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The LPA observed 30 days of Personal Protection Equipment (PPE). No deficiencies were observed at this time. Exit interview conducted. A copy of the report was provided via email and print. |