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 | Licensing Program Analyst (LPA) Jose Villalobos made and unannounced Annual inspection focused on Infection Control. On today’s visit LPA met with Staff Jenifer Lan and the purpose of the visit was discussed.
As a part of the inspection, LPA used the inspection tool, reviewed (8) resident records, (6) staff files, and (8) client medications. There are currently 40 residents in the facility. The facility has a capacity 130 residents and is cleared for 71 ambulatory, 51 non-ambulatory and 8 bedridden. The facility is a 3-story structure with 83 bedrooms, 86 bathrooms, 1 TV room, an administrative office, a restaurant style kitchen, a laundry room, a janitor storage room, and two elevators. There is a large, covered patio area, with a closed off fish pond on the premises. Passageways, walkways, stairs and patios are free from obstructions. The entrance and side areas are free of hazards and debris.
LPA observed rooms #106, #109, #210, #236, and #310. All bedrooms have required furnishings and have attached bathrooms. All bathrooms have a working toilet, wash basin, bathtub/shower. Bedrooms for non-ambulatory residents are accommodated for residents in a wheelchair. LPA observed beds in good repair and the required linen/supplies. Requires posting observed throughout the facility on each floor. Adequate food supply was observed. Knives, cutlery and other sharp kitchen utensils are inaccessible to residents. Smoke detector is hard wired. Carbon monoxide detectors located in hallway of each floor and are operational. Stove burners, oven, microwave, washer, and dryer working. The residence is equipped with central air and heat and each client bedroom is individually climate controlled. Poisons, toxins, and cleaning supplies are locked and inaccessible to residents. Water temperature within Title 22 regulations of 105-120 degrees. A first aid kit and manual were observed. The facility has board games, books, and other recreational materials for the client's use. A fishpond is located at the middle of the facility on the first floor. That area is inaccessible to the residents. LPA completed visit with the Inspection Tool focused on Infection Control.
No deficiencies cited on this visit and a copy of report was provided. |