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25 | At approximately 11:10AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Non-Compliance Inspection, and met with Administrator, Tina Camaclang. Facility is on a Non-Compliance Plan.
Upon arrival, LPA had their temperature taken and observed that the facility's visitor sheet was current. LPA observed all staff members and visitors wearing a mask. LPA conducted a walk-through of the facility and observed the following: LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Facility serves residents with dementia and has a dementia care plan of operation and programming. Auditory alerts were equipped on the exit door and the balcony door leading to the backyard. There was a sufficient supply of perishable and non-perishable foods. Medications were centrally stored in a locked medication cabinet between the kitchen and a resident’s bedroom in the facility. There was a supply of cleaners, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom showers.
LPA reviewed the following:
- Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit.
- Dining Room temperature was observed to be at 72 degrees.
- Facility's Central Stored Medication and Medication Administration Record (MAR) for 4 of 8 residents were reviewed
- All staff present were eligible and cleared to work in facility
- Administrator, Tina Clamaclang, had current administrator paperwork. Certificate expires 2/16/2024.
- All staff were shown to have at least 20 hours of training completed for 2022; Current First Aid and/or CPR training was also observed in staff files.
Continued on LIC 809C |