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25 | Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food review. LPA Mora met with Administrator Euphrosyne Dimaand. The facility is licensed to serve 6 non-ambulatory residents age 60 and above, and have an approved hospice waiver for 2. The facility is located in a residential area. A tour of the single-story facility included: living room, kitchen, dining area, 5 resident bedrooms, 1 staff bathroom, 1 resident bathroom, office, front yard, backyard and attached garage.
LPA and Euphrosyne Dimaand toured the facility and the following was observed: the front and backyard are well maintained. There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. Auditory devices were seen on all exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in the resident's bathroom and measured at 119.8 degrees F, which is within the required 105 - 120 degrees F. The bathroom is clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. Showers also have non-skid materials. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have enough closet space. Resident beds have the required linen and the linen is in good condition. There is extra clean linen and towels in a hallway cabinets. Smoke detectors were observed in each room and throughout the facility and are properly operating. There is one carbon monoxide in the hallway and is properly operating. There is a fire extinguisher located in the kitchen, which is fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are kept locked in a box inside a kitchen cabinet. Cleaning supplies and toxins are kept locked in the garage. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen and garage. First Aid kit was fully stocked with current manual and it is kept locked in the medication cabinet. Residents medication are centrally stored in a locked cabinet in the office. Residents and staff files are centrally stored in the office. (CONTINUED TO LIC 809C).
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