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25 | On 12/03/24, Licensing Program Analyst (LPA), Lizeth Villegas, conducted an unannounced annual visit to the facility listed above. LPA met with Administrator Arlene Feliciano, as the purpose of today's visit was explained. The facility is licensed for six (6) ambulatory and non-ambulatory residents ages 60 and over with a Hospice Waiver for one (1) resident. Administrator provided with upcoming fees info and pin. Facility has an active liability insurance with expiration date of 12/29/24.
The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) resident's rooms, (2) common bathrooms, (1) private bathrooms, living area, dining area, kitchen, laundry area, a detached garage, and a large outside backyard with covered patio area. LPA inspected all bedrooms; all rooms were observed clean and in good repair. All rooms had the required furniture including a bed, dresser, night stand, chair, and ample storage space for resident’s personal belongings. All beds were observed to have the required linens including a mattress pad, fitted sheets, blanket, comforter, and pillow. All linens were observed in good repair. LPA observed an adequate supply of linens. All rooms were observed to have ample lighting. LPA inspected all bathrooms and were found to be within Title 22 regulations. All bathrooms were observed clean, operable, and in good repair. All bathrooms had secured safety handrails and a nonskid mat. The showers were free of mildew and/or mold. LPA observed an ample supply of personal hygiene products and towels in good repair. The water temperature in the bathrooms measured 105F-120F. LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods. LPA observed all sharps and cleaning supplies secured in a cabinet under the kitchen sink and are inaccessible to residents. Land line, smoke detectors, carbon monoxide detector, and fire extinguishers observed to be operational.
LPA conducted a review of (3) staff files, 3 resident files, and 3 medication administration files, no discrepancies were observed. LPA observe medications stored and secured in a locked cabinet. No firearms or bodies of water observed.
Exit interview conducted, appeal rights explained, and a copy of this report was provided.
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